Neurogenic and gliogenic factors and assays therefor

ABSTRACT

Disclosed herein are quantitative assays for measuring the potential of a substance, or a source of a substance, to promote neurogenesis and gliogenesis. Substances that promote neurogenesis and gliogenesis are also disclosed.

CROSS REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of U.S. provisional patentapplication No. 61/575,378, filed Aug. 19, 2011; and U.S. provisionalpatent application No. 61/580,991, filed Dec. 28, 2011; thespecifications and drawings of which are incorporated herein byreference in their entireties for all purposes.

STATEMENT REGARDING FEDERAL SUPPORT

Not applicable.

FIELD

This application is in the field of substances that promote neurogenesisand gliogenesis, and assays for such substances.

BACKGROUND

Mesenchymal stromal cells contain a population of multipotent cells,known as mesenchymal stem cells (reviewed in [1]). A major source ofmesenchymal stem cells (MSC) in adult mammals is the bone marrow;multipotent cells obtained from bone marrow are known variously asmesenchymal stem cells (MSC), marrow adherent stromal cells (MASC),marrow adherent stem cells, and bone marrow stromal cells (BMSC).Mesenchymal stem cells have been studied as a potential cellular therapyfor the repair of neural tissue (reviewed in [2]). Transplantation ofMSC or MSC derivatives into the nervous system has been shown to bebeneficial in many models of neurodegenerative diseases includingstroke, Parkinson's disease, spinal cord injury, multiple sclerosis, andneonatal hypoxic-ischemic brain injury [3-9].

Current evidence suggests that the transplantation of MSC or theirderivatives activates endogenous regeneration mechanisms both in injuredneural tissue [9-13] and in normal brain tissue [14]. These regenerativeprocesses include enhanced proliferation of endogenous neural stemcells, increased survival of newborn neurons [10-11], gliogenesis [7],and modulation of inflammatory cytokine production [15]. It is thoughtthat the neuroprotection and enhancement of neural proliferation aremediated, at least in part, by diffusible neurotrophic factors andcytokines secreted by the transplanted cells. Indeed, MSC have beenshown to secrete a number of growth factors in culture [16, 17]; and theidentity of the growth factors secreted can be modulated bytransplantation in a neurodegenerative environment [18, 19].

It is thus important to identify the factors produced by MSC, and theirderivatives, that are responsible for the neuropoietic and gliogenicactivities of mesenchymal cells. The study of interactions between MSCand neural cells in vitro poses the challenge of creating cultureconditions that are suitable for several different cell types (e.g.,neurons, glial cells, neural stem cells, mesenchymal cells), each havingdifferent requirements for substrate and growth media. Indeed, in mostsystems, co-culture conditions (for example, the presence or absence ofserum, or the use of MSC monolayers as substrate for small numbers ofneural cells) selectively favor certain cells at the expense of others,which leads to inconsistent results [23-26] and prevents the adequatequantification of MSC effects. For example, certain culture systems arefavorable to the growth of neurons, but not of glial cells; and nosystem has been found that supports the growth of neural precursor cellsand the three major types of neural cell (neuron, oligodendrocyte andastrocyte) simultaneously.

The effects of MSC and other substances on proliferation anddifferentiation of neural stem cells into various neural lineages (i.e.,neuropoiesis) are commonly studied in vitro using mitogen-drivenneurospheres as a source of neural stem/early precursor cells;subsequently, their differentiation is induced by plating neurosphereson an adhesive substrate and withdrawing the mitogenic growth factors[23-26]. However, cells in neurospheres may not reflect a natural poolof neural precursors because their growth conditions select forresponders to non-physiologically high concentrations of growth factorsand unattached growth [27, 28]. It is thus possible that by thebeginning of co-culturing, cells derived from neurospheres may have beenreprogrammed by the culture conditions. Furthermore, in neurosphereco-culture experiments the state of growth of neural stem cellprogenitors is difficult to observe because it occurs in a “blind spot”within the neurospheres themselves. Finally, induction of neuraldifferentiation through the change of cell attachment status may obscurethe effects of test substances, in the neurosphere system.

For the reasons stated above, systems capable of quantifying the effectsof neurogenic and gliogenic factors on neural precursor cells, neurons,astrocytes and oligodendrocytes under the same conditions have not beenavailable.

SB623 cells are derived from MSC by transfecting MSC with a vectorencoding a Notch1 intracellular domain. See, e.g., U.S. Pat. No.7,682,825. Previous work has shown that ECM produced by human MSC, andSB623 cells derived therefrom, effectively supports the growth anddifferentiation of rat embryonic cortical cells without added factors orserum (29, see also US 2010/0310529, the disclosure of which isincorporated by reference in its entirety for the purpose of describingcertain properties of the ECM produced by MSC and SB623 cells).

As set forth above, there remains a need for a simple and accurate invitro system that models the interactions of substances possessingneurogenic and/or gliogenic activity (e.g., MSC and their derivatives,e.g., SB623 cells) with complex populations of neural cells, andquantifies the potency of such substances.

SUMMARY

Provided herein are in vitro systems for co-culture of MSC, and/or theirderivatives (e.g., SB623 cells), with neural cell populations underconditions that optimize the ability to quantitate the effects offactors that influence the growth and differentiation of the differentneural cells in the culture.

These culture systems can be used to provide quantitative functionalassays for measuring the effects of substances (e.g., MSC and theirderivatives, e.g., SB623 cells, conditioned medium, polypeptides,organic compounds) on various types of neural cells (e.g. neurons,astrocytes, oligodendrocytes). In particular, neurotrophic, neurogenic,gliotrophic and gliogenic factors, and sources of such factors, can beidentified and quantitated.

Using the assays described herein, a number of substances havingneurogenic and gliogenic activity have been identified.

Accordingly, the present disclosure provides, inter alia, the followingembodiments.

1. A method for testing for a substance that promotes neurogenesis, themethod comprising:

-   -   (a) culturing mesenchymal stem cells (MSC) on a solid substrate;    -   (b) removing the MSC from the substrate, such that an        extracellular matrix produced by the MSC remains on the        substrate;    -   (c) culturing embryonic cortical cells on the substrate of step        (b);    -   (d) adding a substance to the culture of step (c); and    -   (e) measuring growth of neurons;

wherein growth of neurons indicates that the substance promotesneurogenesis.

2. The method of embodiment 1, wherein the MSC are obtained from a human

3. The method of embodiment 1, wherein the solid substrate is selectedfrom the group consisting of plastic, nitrocellulose and glass.

4. The method of embodiment 1, wherein the embryonic cortical cells areobtained from a mouse or a rat.

5. The method of embodiment 1, wherein the substance is a chemicalcompound or a polypeptide.

6. The method of embodiment 1, wherein the substance is a cell or a cellculture. In certain embodiments, the cell is a mesenchymal stem cell. Inadditional embodiments, the cell is a descendant of a mesenchymal stemcell that has been transfected with a nucleic acid encoding a Notchintracellular domain (a SB623 cell).

7. The method of embodiment 6, wherein the neurogenesis is promoted by aprotein expressed on the surface of the cell.

8. The method of embodiment 1, wherein the substance is a conditionedmedium from a cell culture.

9. The method of embodiment 1, wherein growth of neurons is measured byneurite outgrowth or by expression of a marker selected from the groupconsisting of microtubule-associated protein 2 (MAP2), doublecortin(DCX), beta-tubulin type III (TuJ1), synaptophysin and neuron-specificenolase.

10. The method of embodiment 1, wherein growth of neurons is compared togrowth of neurons in the absence of the substance.

11. A method for testing for a substance that promotes gliogenesis, themethod comprising:

-   -   (a) culturing mesenchymal stem cells (MSC) on a solid substrate;    -   (b) removing the MSC from the substrate, such that an        extracellular matrix produced by the MSC remains on the        substrate;    -   (c) culturing embryonic cortical cells on the substrate of step        (b);    -   (d) adding a substance to the culture of step (c); and    -   (e) measuring growth of glial cells;

wherein growth of glial cells indicates that the substance promotesgliogenesis.

12. The method of embodiment 11, wherein the MSC are obtained from ahuman

13. The method of embodiment 11, wherein the solid substrate is selectedfrom the group consisting of plastic, nitrocellulose and glass.

14. The method of embodiment 11, wherein the embryonic cortical cellsare obtained from a mouse or a rat.

15. The method of embodiment 11, wherein the substance is a chemicalcompound or a polypeptide.

16. The method of embodiment 11, wherein the substance is a cell or acell culture. In certain embodiments, the cell is a mesenchymal stemcell. In additional embodiments, the cell is a descendant of amesenchymal stem cell that has been transfected with a nucleic acidencoding a Notch intracellular domain (a SB623 cell).

17. The method of embodiment 16, wherein the gliogenesis is promoted bya protein expressed on the surface of the cell.

18. The method of embodiment 11, wherein the substance is a conditionedmedium from a cell culture.

19. The method of embodiment 11, wherein the growth of glial cells iscompared to growth of glial cells in the absence of the substance.

20. The method of embodiment 11, wherein the glial cells are astrocytes.

21. The method of embodiment 20, wherein growth of the astrocytes ismeasured by expression of glial fibrillary acidic protein (GFAP), Glast,or glutamine synthetase.

22. The method of embodiment 11, wherein the glial cells areoligodendrocytes.

23. The method of embodiment 22, wherein growth of the oligodendrocytesis measured by expression a marker selected from the group consisting of2′,3′-cyclic nucleotide 3′ phosphodiesterase (CNPase), the O1 antigen,the O4 antigen, myelin basic protein, oligodendrocyte transcriptionfactor 1, oligodendrocyte transcription factor 2, oligodendrocytetranscription factor 3, NG2, and myelin-associated glycoprotein.

24. A method for testing for a substance that promotes neurogenesis, themethod comprising:

-   -   (a) culturing cells on a solid substrate, wherein the cells are        descendants of mesenchymal stem cells that have been transfected        with a nucleic acid encoding a Notch intracellular domain;    -   (b) removing the cells from the substrate,    -   (c) culturing embryonic cortical cells on the substrate of step        (b);    -   (d) adding a substance to the culture of step (c); and    -   (e) measuring growth of neurons;

wherein growth of neurons indicates that the substance promotesneurogenesis.

25. The method of embodiment 24, wherein the MSC are obtained from ahuman.

26. The method of embodiment 24, wherein the solid substrate is selectedfrom the group consisting of plastic, nitrocellulose and glass.

27. The method of embodiment 24, wherein the embryonic cortical cellsare obtained from a mouse or a rat.

28. The method of embodiment 24, wherein the substance is a chemicalcompound or a polypeptide.

29. The method of embodiment 24, wherein the substance is a cell or acell culture. In certain embodiments, the cell is a mesenchymal stemcell. In additional embodiments, the cell is a descendant of amesenchymal stem cell that has been transfected with a nucleic acidencoding a Notch intracellular domain (a SB623 cell).

30. The method of embodiment 29, wherein the neurogenesis is promoted bya protein expressed on the surface of the cell.

31. The method of embodiment 24, wherein the substance is a conditionedmedium from a cell culture.

32. The method of embodiment 24, wherein growth of neurons is measuredby neurite outgrowth or by expression of a marker selected from thegroup consisting of microtubule-associated protein 2 (MAP2),doublecortin (DCX), beta-tubulin type III (TuJ1), synaptophysin andneuron-specific enolase.

33. The method of embodiment 24, wherein growth of neurons is comparedto growth of neurons in the absence of the substance.

34. A method for testing for a substance that promotes gliogenesis, themethod comprising:

-   -   (a) culturing cells on a solid substrate, wherein the cells are        descendants of mesenchymal stem cells that have been transfected        with a nucleic acid encoding a Notch intracellular domain;    -   (b) removing the cells from the substrate, such that an        extracellular matrix produced by the cells remains on the        substrate;    -   (c) culturing embryonic cortical cells on the substrate of step        (b);    -   (d) adding a substance to the culture of step (c); and    -   (e) measuring growth of glial cells;

wherein growth of glial cells indicates that the substance promotesgliogenesis.

35. The method of embodiment 34, wherein the MSC are obtained from ahuman.

36. The method of embodiment 34, wherein the solid substrate is selectedfrom the group consisting of plastic, nitrocellulose and glass.

37. The method of embodiment 34, wherein the embryonic cortical cellsare obtained from a mouse or a rat.

38. The method of embodiment 34, wherein the substance is a chemicalcompound or a polypeptide.

39. The method of embodiment 34, wherein the substance is a cell or acell culture. In certain embodiments, the cell is a mesenchymal stemcell. In additional embodiments, the cell is a descendant of amesenchymal stem cell that has been transfected with a nucleic acidencoding a Notch intracellular domain (a SB623 cell).

40. The method of embodiment 34, wherein the gliogenesis is promoted bya protein expressed on the surface of the cell.

41. The method of embodiment 34, wherein the substance is a conditionedmedium from a cell culture.

42. The method of embodiment 34, wherein the growth of glial cells iscompared to growth of glial cells in the absence of the substance.

43. The method of embodiment 34, wherein the glial cells are astrocytes.

44. The method of embodiment 43, wherein growth of the astrocytes ismeasured by expression of glial fibrillary acidic protein (GFAP), Glast,or glutamine synthetase.

45. The method of embodiment 34, wherein the glial cells areoligodendrocytes.

46. The method of embodiment 45, wherein growth of the oligodendrocytesis measured by expression a marker selected from the group consisting of2′,3′-cyclic nucleotide 3′ phosphodiesterase (CNPase), the O1 antigen,the O4 antigen, myelin basic protein, oligodendrocyte transcriptionfactor 1, oligodendrocyte transcription factor 2, oligodendrocytetranscription factor 3, NG2, and myelin-associated glycoprotein.

47. A method for testing for a substance that promotes the growth ofneural precursor cells (NPC), the method comprising:

-   -   (a) culturing mesenchymal stem cells (MSC) on a solid substrate;    -   (b) removing the MSC from the substrate, such that an        extracellular matrix produced by the MSC remains on the        substrate;    -   (c) culturing embryonic cortical cells on the substrate of step        (b);    -   (d) adding a substance to the culture of step (c); and    -   (e) measuring growth of neural precursor cells;

wherein growth of NPC indicates that the substance promotes the growthof NPC.

48. The method of embodiment 47, wherein the MSC are obtained from ahuman

49. The method of embodiment 47, wherein the solid substrate is selectedfrom the group consisting of plastic, nitrocellulose and glass.

50. The method of embodiment 47, wherein the embryonic cortical cellsare obtained from a mouse or a rat.

51. The method of embodiment 47, wherein the substance is a chemicalcompound or a polypeptide.

52. The method of embodiment 47, wherein the substance is a cell or acell culture. In certain embodiments, the cell is a mesenchymal stemcell. In additional embodiments, the cell is a descendant of amesenchymal stem cell that has been transfected with a nucleic acidencoding a Notch intracellular domain (a SB623 cell).

53. The method of embodiment 52, wherein the growth of neural precursorcells is promoted by a protein expressed on the surface of the cell.

54. The method of embodiment 47, wherein the substance is a conditionedmedium from a cell culture.

55. The method of embodiment 47, wherein growth of NPC is measured byexpression of nestin or SOX2.

56. The method of embodiment 47, wherein growth of NPC is compared togrowth of NPC in the absence of the substance.

57. A method for testing for a substance that promotes the growth ofneural precursor cells (NPC), the method comprising:

-   -   (a) culturing cells on a solid substrate, wherein the cells are        descendants of mesenchymal stem cells (MSC) that have been        transfected with a nucleic acid encoding a Notch intracellular        domain;    -   (b) removing the cells from the substrate, such that an        extracellular matrix produced by the cells remains on the        substrate;    -   (c) culturing embryonic cortical cells on the substrate of step        (b);    -   (d) adding a substance to the culture of step (c); and    -   (e) measuring growth of NPC;

wherein growth of NPC indicates that the substance promotes growth ofNPC.

58. The method of embodiment 57, wherein the MSC are obtained from ahuman

59. The method of embodiment 57, wherein the solid substrate is selectedfrom the group consisting of plastic, nitrocellulose and glass.

60. The method of embodiment 57, wherein the embryonic cortical cellsare obtained from a mouse or a rat.

61. The method of embodiment 57, wherein the substance is a chemicalcompound or a polypeptide.

62. The method of embodiment 57, wherein the substance is a cell or acell culture. In certain embodiments, the cell is a mesenchymal stemcell. In additional embodiments, the cell is a descendant of amesenchymal stem cell that has been transfected with a nucleic acidencoding a Notch intracellular domain (a SB623 cell).

63. The method of embodiment 62, wherein the growth of neural precursorcells is promoted by a protein expressed on the surface of the cell.

64. The method of embodiment 57, wherein the substance is a conditionedmedium from a cell culture.

65. The method of embodiment 57, wherein growth of NPC is measured byexpression of nestin, Glast or SOX2.

66. The method of embodiment 57, wherein growth of NPC is compared togrowth of NPC in the absence of the substance.

67. A method for testing for a substance that promotes thedifferentiation of neural precursor cells (NPC), the method comprising:

-   -   (a) culturing mesenchymal stem cells (MSC) on a solid substrate;    -   (b) removing the MSC from the substrate, such that an        extracellular matrix produced by the MSC remains on the        substrate;    -   (c) culturing embryonic cortical cells on the substrate of step        (b);    -   (d) adding a substance to the culture of step (c); and    -   (e) measuring differentiation of NPC;

wherein differentiation of NPC indicates that the substance promotes thedifferentiation of NPC.

68. A method for testing for a substance that promotes thedifferentiation of neural precursor cells (NPC), the method comprising:

-   -   (a) culturing cells on a solid substrate, wherein the cells are        descendants of mesenchymal stem cells (MSC) that have been        transfected with a nucleic acid encoding a Notch intracellular        domain;    -   (b) removing the cells from the substrate, such that an        extracellular matrix produced by the cells remains on the        substrate;    -   (c) culturing embryonic cortical cells on the substrate of step        (b);    -   (d) adding a substance to the culture of step (c); and    -   (e) measuring differentiation of NPC;

wherein differentiation of NPC indicates that the substance promotes thedifferentiation of NPC.

69. The method of either of embodiments 67 or 68, wherein the MSC areobtained from a human.

70. The method of either of embodiments 67 or 68, wherein the solidsubstrate is selected from the group consisting of plastic,nitrocellulose and glass.

71. The method of either of embodiments 67 or 68, wherein the embryoniccortical cells are obtained from a mouse or a rat.

72. The method of either of embodiments 67 or 68, wherein the substanceis a chemical compound or a polypeptide.

73. The method of either of embodiments 67 or 68, wherein the substanceis a cell or a cell culture. In certain embodiments, the cell is amesenchymal stem cell. In additional embodiments, the cell is adescendant of a mesenchymal stem cell that has been transfected with anucleic acid encoding a Notch intracellular domain (a SB623 cell).

74. The method of embodiment 73, wherein the neurogenesis is promoted bya protein expressed on the surface of the cell.

75. The method of either of embodiments 67 or 68, wherein the substanceis a conditioned medium from a cell culture.

76. The method of either of embodiments 67 or 68, whereindifferentiation of NPC is compared to differentiation of NPC in theabsence of the substance.

77. The method of either of embodiments 67 or 68, whereindifferentiation of NPC is evidenced by neurite outgrowth, or byexpression of a marker selected from the group consisting ofmicrotubule-associated protein 2 (MAP2), doublecortin (DCX),beta-tubulin type III (TuJ1), synaptophysin, neuron-specific enolase,glial fibrillary acidic protein (GFAP), glutamine synthetase, the GLASTglutamate transporter, 2′,3′-cyclic nucleotide 3′ phosphodiesterase(CNPase), the O1 antigen, the O4 antigen, myelin basic protein,oligodendrocyte transcription factor 1, oligodendrocyte transcriptionfactor 2, oligodendrocyte transcription factor 3, NG2, andmyelin-associated glycoprotein.

78. A composition comprising a solid substrate with a biological layerdeposited thereon, wherein the biological layer is an extracellularmatrix deposited by:

-   -   (a) a mesenchymal stem cell (MSC), or    -   (b) a MSC that has been transfected with a nucleic acid, wherein        the nucleic acid encodes a Notch intracellular domain but does        not encode full-length Notch protein.

79. The composition of embodiment 78, wherein the MSC are obtained froma human.

80. The composition of embodiment 78, wherein the solid substrate isselected from the group consisting of plastic, nitrocellulose and glass.

81. The composition of embodiment 78, further comprising embryoniccortical cells.

82. The composition of embodiment 81, wherein the embryonic corticalcells are obtained from a mouse or a rat.

83. The composition of embodiment 81, further comprising a testsubstance.

84. The composition of embodiment 83, wherein the test substance is achemical compound or a polypeptide.

85. The composition of embodiment 83, wherein the test substance is acell or a cell culture. In certain embodiments, the cell is amesenchymal stem cell. In additional embodiments, the cell is adescendant of a mesenchymal stem cell that has been transfected with anucleic acid encoding a Notch intracellular domain (a SB623 cell).

86. The composition of embodiment 83, wherein the test substance is aconditioned medium from a cell culture.

87. A kit for determining the effect of a substance on neuropoiesis,neurogenesis, astrocytogenesis, or oligodendrocytogenesis; the kitcomprising the composition of any of embodiments 78-86.

88. The kit of embodiment 87, further comprising one or more reagentsfor detection of a neuronal or glial marker molecule.

89. The kit of embodiment 88, wherein the detection is byimmunohistochemistry.

90. The kit of embodiment 89, wherein the reagent comprises one or moreantibodies.

91. The kit of embodiment 90, wherein the one or more antibodies arespecific to one or more antigens selected from the group consisting ofmicrotubule-associated protein 2 (MAP2), doublecortin (DCX),beta-tubulin type III (TuJ1), synaptophysin, neuron-specific enolase,glial fibrillary acidic protein (GFAP), Glast, glutamine synthetase,2′,3′-cyclic nucleotide 3′ phosphodiesterase (CNPase), the O1 antigen,the O4 antigen, myelin basic protein, oligodendrocyte transcriptionfactor 1, oligodendrocyte transcription factor 2, oligodendrocytetranscription factor 3, NG2, and myelin-associated glycoprotein.

92. The kit of embodiment 88, wherein the detection is by quantitativereverse transcription/polymerase chain reaction (qRT-PCR).

93. The kit of embodiment 92, wherein the reagent comprises one or moreoligonucleotide primers or oligonucleotide probes.

94. The kit of embodiment 93, wherein the one or more oligonucleotideprimers or oligonucleotide probes specifically detect a nucleic acidencoding a protein selected from the group consisting ofmicrotubule-associated protein 2 (MAP2), doublecortin (DCX),beta-tubulin type III (TuJ1), synaptophysin, neuron-specific enolase,glial fibrillary acidic protein (GFAP), Glast, glutamine synthetase,2′,3′-cyclic nucleotide 3′ phosphodiesterase (CNPase), the O1 antigen,the O4 antigen, myelin basic protein, oligodendrocyte transcriptionfactor 1, oligodendrocyte transcription factor 2, oligodendrocytetranscription factor 3, NG2, and myelin-associated glycoprotein.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A and 1B show results of measurements of proliferation of ratneural cells (denoted “N”) alone or in co-culture with MSC (denoted “M”)on ECM-coated plates. FIG. 1A shows measurements of the number ofDAPI-stained neural cell (non-MSC) nuclei in co-cultures at threedifferent time points (Day 1, Day 5 and Day 7 after beginning ofco-culture). For each pair of bars, the left-most bar represents thenumber of live neural cells, and the right-most bar represents thenumber of dead neural cells, as assessed by nuclear morphology. FIG. 1Bshows cell number, as assayed by relative levels of the rat noggin gene,in neural cells (denoted “N”) cultured alone or co-cultured with MSC(denoted “M”), and in MSC cultured in the absence of rat neural cells.Data for two time points (Day 1 and Day 7) are shown.

FIG. 2, panels A to E, show the time-course of expression of mRNAs fordoublecortin (DCX) (FIG. 2A), microtubule-associated protein-2 (MAP2)(FIG. 2B), nestin (Nes) (FIG. 2C), glial fibrillary acidic protein(GFAP) (FIG. 2D) and 2′,3′-cyclic nucleotide 3′ phosphodiesterase (CNP)(FIG. 2E) in cultures of rat neural cells (N) and co-cultures of ratneural cells and MSC(N+M) on ECM-coated plates. Co-cultures contained200 MSC per well. “Days” refers to days after initiation of co-culture.

FIG. 3 shows results of quantitative PCR studies indicating thatexpression of RNAs encoding various neural markers in rat E18 corticalcells is MSC dose-dependent in co-cultures grown on extracellular matrix(ECM). MSC-dose responses of rat nestin (rNes), MAP2 (rMAP2), and CNPase(rCNPase) gene expression were assessed on day 5, rat GFAP (rGFAP) andhuman GAP (huGAP) expression were assessed on day 7. No signal fromhuman MCS or SB623 cells alone was detected in any rat expressionassays, and no signal from rat cells was detected in the human GAPexpression assay.

FIG. 4 shows relative expression levels of various markers, determinerby qRT-PCR, in co-cultures of rat neural cells and MSC on ECM-coatedplates. The rat markers are nestin (Nes), CNPase (CNP), doublecortin(DCX), microtubule-associated protein-2 (MAP2), glial fibrillary acidicprotein (GFAP), and glyceraldehyde-3-phosphate dehydrogenase (ratGAP).The human marker, used to identify and quantitate MSC in the cultures,is glyceraldehyde-3-phosphate dehydrogenase (huGAP). Expression ofNestin and CNPase was assayed after 5 days of co-culture; all othermarkers were assayed after 7 days of co-culture. An expression level of1 was arbitrarily assigned to be the level at the lowest MSC dose (32cells per well).

FIG. 5 shows the effect of MSC concentration on levels of expression ofCNPase mRNA at two different stages of co-culture on ECM-coated plates.CNPase mRNA levels were quantitated by qRT-PCR. A relative expressionlevel of 1 was arbitrarily set as the highest level observed on theparticular day of assay (day 5 or day 7).

FIG. 6 shows levels of marker expression in co-cultures of rat neuralcells and MSC conducted under non-adherent conditions. Neural cells werealso cultured without MSC in the presence of bFGF and EGF as a control.For each set of conditions the bars represent, from left to right,expression levels of rat nestin (rNes), rat microtubule-associatedprotein-2 (rMAP2), rat glial fibrillary acidic protein (rGFAP), ratdoublecortin (rDCX), rat 2′,3′-cyclic nucleotide 3′ phosphodiesterase(rCNPase), rat glyceraldehyde-3-phosphate dehydrogenase (rGAP) and humanglyceraldehyde-3-phosphate dehydrogenase (huGAP). Neural marker geneexpression level in the presence of bFGF/EGF was assigned a value of 1and other values were expressed correspondingly for all markers exceptGFAP, which was assigned a value of 0.1 in the bFGF/EGF sample.

FIG. 7 shows levels of marker expression in co-cultures of rat neuralcells and MSC conducted under different attachment conditions. “ECM”indicates co-culture on plates coated with SB623 cell-derivedextracellular matrix. “Orn/FN” indicates co-culture on plates coatedwith ornithine and fibronectin. “ULA” indicates culture on Ultra LowAttachment plates. On ECM and Orn/FN plates, neural cells wereco-cultured with MSC at a 10:1 ratio (1.5×10⁴ cells/cm²). On ULA plates,neural cells were cultured either with MSC at a 2:1 ratio (“+MSC, 5X”)or in the absence of MSC in medium supplemented with growth factors(“FGF2/EGF”). For each set of conditions, the bars represent, from leftto right, expression levels of rat nestin (Nes), rat 2′,3′-cyclicnucleotide 3′ phosphodiesterase (CNPase), rat glial fibrillary acidicprotein (GFAP), rat doublecortin (DCX), and humanglyceraldehyde-3-phosphate dehydrogenase (huGAP). Nestin and CNPaselevels were assayed after 5 days of culture or co-culture (“5d”); allother markers were assayed at 7 days (“7d”).

FIG. 8 shows effect of heparinase on expression of nestin mRNA by neuralcells. Rat cortical cells were cultured on ECM-coated plates. Prior toplating of the cortical cells, the ECM-coated plates had been treatedwith two concentrations of heparinase I (0.5 Units/ml and 1.5 Units/ml),or with heparinase buffer (“H-Buffer”) or were untreated (“No add”).Nestin mRNA expression was measured by qRT-PCR 5 days after initiationof culture. The amount of nestin mRNA detected in cells cultured onuntreated ECM-coated plates was arbitrarily assigned a relativeexpression level of 1.

FIGS. 9A-9D show the effects of purified growth factors (EGF, BMP6,HB-EGF) and MSC conditioned medium (CM) on relative expression levels ofmRNAs encoding various neural markers, by neural cells cultured onECM-coated plates, determined by qRT-PCR. FIG. 9A shows effects onexpression of Nestin, a marker for neural precursor cells. FIG. 9B showseffects on expression of doublecortin (DCX), a marker for nascentneurons. FIG. 9C shows effects on expression of CNPase, anoligodendrocyte marker. FIG. 9D shows effects on expression of GFAP, amarker for astrocytes.

FIG. 10 shows effects of an anti-FGF2 neutralizing antibody on nestinexpression by neural cells in neural cell/MSC co-cultures on ECM-coatedplates. Rat cortical cells (5,000 cells) were cultured by themselves(“No MSC”) or co-cultured with 200 MSC (“+MSC”). Additional co-culturesamples also contained either a neutralizing anti-FGF2 antibody(“+MSC+bFM1”) or a non-neutralizing anti-FGF2 antibody (“+MSC+bFM2”).Nestin expression was assayed 5 days after beginning of culture orco-culture. Levels of nestin expression in cortical cells cultured inthe absence of MSC were arbitrarily assigned a relative expression valueof 1.

FIG. 11 shows the effects of MSC conditioned medium, and ofFGF2-depleted MSC conditioned medium, on nestin expression in culturedrat neural cells. Rat cortical cells were cultured on ECM-coated plateswithout further additions (“No add”), with MSC conditioned medium(“CM”), with MSC conditioned medium that had been depleted of FGF2 byimmunoprecipitation (“FGF2-depleted CM”), and with MSC conditionedmedium treated with a control antibody that did not react with FGF2(“IP-Control-CM”). Nestin expression was assayed 5 days after beginningof culture. Levels of nestin expression in cortical cells cultured inthe absence of conditioned medium were arbitrarily assigned a relativeexpression value of 1.

FIG. 12 shows levels of mRNAs encoding nestin (Nes) and glial fibrillaryacidic protein (GFAP), expressed by neural cells cultured on ECM-coatedplates in the presence of 200 mesenchymal stem cells (“+MSC, 200 cells”)or a 1:10 dilution of conditioned medium from mesenchymal stem cells(“+CM, 10%”). Control cells were cultured in the absence of MSC orconditioned medium (“No add”). Assay for nestin was conducted 5 daysafter beginning of culture; assay for GFAP was conducted 7 days afterbeginning of culture. The level of each marker expressed in co-culturewith MSC was arbitrarily assigned a relative expression value of 1.

FIG. 13 shows levels of GFAP mRNA, assayed 7 days after beginning ofculture or co-culture, in rat cortical cells cultured on ECM-coatedplates. Cortical cells were co-cultured with MSC (“MSC”), co-culturedwith MSC in the presence of 30 ng/ml recombinant noggin protein(“MSC+noggin”), or co-cultured with MSC in the presence of an anti-BMP4antibody (“MSC+anti-BMP4”). The level of GFAP mRNA expressed inco-culture with MSC was arbitrarily assigned a relative expression valueof 1.

FIG. 14 shows expression levels of mRNAs for human bone morphogeneticprotein-4 (“huBMP4”), human glyceraldehyde-3-phosphate dehydrogenase(“huGAP”), human fibroblast growth factor-2 (“huFGF2”) and rat glialfibrillary acidic protein (“rGFAP”) in co-cultures of rat neural cellsand MSC on ECM-coated plates. Prior to co-culture, MSC were transfectedwith siRNA pools targeted to human BMP-4 sequences (“N+siBMP4-MSC”) or acontrol non-BMP4-targeted siRNA (“N+siContr-MSC”). Neural cells werealso cultured separately in the absence of MSC (“N alone”).

DETAILED DESCRIPTION

It has proven difficult to establish in vitro culture conditions thatwill support the growth and differentiation of the various differenttypes of neural cells. The present inventors have devised an in vitroculture system in which neural precursor cells, neurons, astrocytes andoligodendrocytes are all able to grow and differentiate. The culturesystem disclosed herein thus allows, for the first time, quantitativeevaluation of the effect of a test substance on the growth anddifferentiation of neural cells. The system comprises a culture ofneural cells (e.g. embryonic rodent cortical cells) on an extracellularmatrix in the presence of a test substance, followed by analysis of theneural cell culture for the expression of one or more marker molecules.The extracellular matrix used in these assays is produced by (a) amesenchymal stem cell, or (b) a mesenchymal stem cell that has beentransfected with a nucleic acid, wherein the nucleic acid encodes aNotch intracellular domain but does not encode full-length Notch protein(e.g., a SB623 cell).

Various aspects of this system contribute to its ability to providequantitative information on the potency of various neurogenic andgliogenic factors. In one aspect, the neural cells are cultured on anextracellular matrix produced by MSC or SB623 cells (cells that havebeen derived from MSC by transfecting MSC with a vector containingsequences encoding an Notch intracellular domain). In another aspect,the amount of time that the neural cells are co-cultured with a testsubstance is chosen to optimize detection and quantitation of the markerthat is being assayed. The duration of co-culture prior to assay isunique to each marker. For example, co-culture is conducted for fivedays for measurement of nestin and CNPase; and for seven days formeasurement of GFAP, DCX and MAP2. In yet another aspect, theconcentration of cells in the culture is optimized. For example, neuralcells are used at a concentration of 1.5×10⁴ cells/ml; MSC and SB623cells are used at a concentration of 0.5-1.5×10³ cells/ml.

The quantitative assay system disclosed herein utilizes ECM frommesenchymal cells such as MSC and their derivatives (e.g., SB623 cells)as a biological substrate for co-cultures of test substances (e.g., MSCor their derivative SB623 cells, conditioned medium, growth factors,cytokines) and neural cell populations, and provides a culture systemthat is favorable to the growth of both mesenchymal cells and neuralcells. Such a system, in turn, allows quantitation of the effects ofmesenchymal cells, as well as effects of other cells and substances, onthe growth and differentiation of various types of neural cells.

The advantages of the assays described herein include that fact thatdevelopmental transitions occur under physiological conditions and overa physiological time-course, rather than in response to abnormalphysical conditions, such as attachment or aggregation (cf. neurospherecultures). In addition, the stage of development of the cells beingassayed can be easily determined, as development does not occur in theinterior of a neurosphere. Finally, the assays disclosed herein do notrequire external growth factors; thus allowing the effects of suchfactors to be quantitated in this system.

Using this system, the inventors have determined that not only doesmesenchymal cell ECM support the growth of neural cell populations (suchas, for example, embryonic cortical cells), but that addition of MSC orSB623 cells to neural cell populations growing on mesenchymal cell ECMsubstantially enhances growth and differentiation of all neural lineages(e.g., neurons, astrocytes and oligodendrocytes).

Compared to existing co-culture systems, much lower ratios ofmesenchymal cells to neural cells are capable of inducing significantgrowth and differentiation of neural cells in the ECM-based co-culturesdescribed herein. For example, the assay systems described herein aresensitive enough to detect the effect of approximately 50 mesenchymalcell on 5,000 neural cells.

Provided herein are quantitative assays for neurogenic and gliogenicfactors, as well as factors that promote the growth and differentiationof neural precursor cells. The assays can also be used to identify andquantitate sources of such factors, such as cell cultures or conditionedmedia.

To conduct the assays, MSC or SB623 cells (referred to collectively as“mesenchymal cells”) are grown in a vessel, such as a tissue culturedish, for a period of time sufficient for the cells to lay down anextracellular matrix on the surface of the vessel. Any solid substratecan be used as a surface on which the cells are grown, as long as itsupports the growth of the cells and the elaboration of an extracellularmatrix by the cells. Suitable substrates include plastic, glass ornitrocellulose. Further, the substrate may be coated with a substancesuch as, for example, fibronectin or collagen, or a reconstitutedbasement membrane such as, for example, Matrigel™.

An example of a suitable substrate is a plastic tissue culture dish orflask. The cells can be grown for one day, two days, three days, oneweek, two weeks, one month, or any time interval therebetween asdesired. For additional details on ECM elaborated by MSC and SB623cells, see U.S. Patent Application Publication No. 2010/0310529, thedisclosure of which is incorporated by reference for the purpose ofdescribing ECM elaborated by MSC and SB623 cells (denoted“differentiation-restricted descendants of MASCs” in that publication)and its properties.

MSC can be obtained by selecting adherent cells from bone marrowsamples. Bone marrow can be obtained commercially (e.g., from Lonza,Walkersville, Md.) or from bone marrow biopsies. Other sources ofmesenchymal stem cells include, for example, adipose tissue, dentalpulp, cord blood, placenta and the decidua. MSC can be obtained from anyanimal, including mammals, and including humans.

Exemplary disclosures of MSC are provided in U.S. patent applicationpublication No. 2003/0003090; Prockop (1997) Science 276:71-74 and Jiang(2002) Nature 418:41-49. Methods for the isolation and purification ofMSC can be found, for example, in U.S. Pat. No. 5,486,359; Pittenger etal. (1999) Science 284:143-147 and Dezawa et al. (2001) Eur. J.Neurosci. 14:1771-1776. Human MSC are commercially available (e.g.,BioWhittaker, Walkersville, Md.) or can be obtained from donors by,e.g., bone marrow aspiration, followed by selection for adherent bonemarrow cells. See, e.g., WO 2005/100552.

SB623 cells are derived from MSC by transfecting MSC with a vectorcontaining sequences that encode a Notch intracellular domain (NICD) butdo not encode the full-length Notch protein, such that the transfectedcells express exogenous NICD but do not express exogenous full-lengthNotch protein. Methods for obtaining MSC, and for deriving SB623 cellsfrom MSC populations, are described, for example, in U.S. Pat. No.7,682,825 and in US Patent Application Publication No. 2010/0266554, thedisclosures of which are incorporated by reference for the purposes ofdescribing MSC and SB623 cells, and methods of obtaining these cells.

Subsequent to growth on the substrate for a predetermined amount oftime, the MSC or SB623 cells are removed from the substrate, leavingbehind an extracellular matrix deposited on the substrate. Methods ofremoving cells from a substrate are well known in the art. In thepractice of the methods disclosed herein, removal of cells from thesubstrate must be sufficiently gentle that the ECM that has beenelaborated by the cells remains on the substrate. Such methods include,for example, treatment with non-ionic detergent (e.g., Triton X-100,NP40) and alkali (e.g. NH₄OH). See the “Examples” section infra foradditional details.

The ECM-containing substrate is then used as a substrate for co-cultureof neural cells and one or more test substance(s), and the effect of thetest substance(s) on the neural cells is determined and quantitated.Introduction of the neural cells and the test substance to the culturecan be simultaneous, or in either order.

Any type of neural cell or neural cell population can be used; suchcells are known in the art. A convenient source of neural cellpopulations are rodent embryonic cortical cells (e.g., from rat ormouse), which can be obtained commercially (BrainBits, Springfield,Ill.). In certain embodiments, the neural cell population is enriched inneural precursor cells.

A test substance can be any chemical compound, macromolecule (e.g.,nucleic acid or polypeptide), cell, cell culture, cell fraction ortissue, or combination thereof. For example, growth factors andcytokines, low molecular weight organic compounds, mRNA molecules, siRNAmolecules, shRNA molecules, antisense RNA molecules, ribozymes, DNAmolecules, DNA or RNA analogues, proteins (e.g., transcriptionalregulatory proteins), antibodies (e.g., neutralizing antibodies),enzymes (e.g., nucleases), glycoproteins, glycans, proteoglycans, cells,cell membrane preparations, cell cultures, conditioned medium from cellcultures, subcellular fractions and tissue slices or tissue fractionsare all suitable test substances. Test substances can also includeelectromagnetic radiation such as, for example, X-rays, light (e.g.,ultraviolet, infrared) or sound (e.g., subsonic or ultrasonicradiation). In certain embodiments, the combination of a protein and aneutralizing antibody to the protein is used as a test substance.

Naturally-occurring test substances can include soluble molecules (e.g.,proteins) synthesized and secreted by cells, as well as molecules (e.g.,proteins) that are synthesized by a cell, transported to the cellsurface, and remain embedded in the cell surface, with all or a portionof the molecule exposed to the exterior of the cell (i.e., surfacemolecules, surface proteins or surface glycoproteins).

Neural cells and test substances are co-cultured for an appropriateamount of time, as determined by the practitioner of the method. Forexample, co-culture can be conducted for 1 hour, two hours, three hours,four hours, six hours, 12 hours, one day, two days, three days, fourdays, five days, six days, one week, two weeks, one month, or any timeinterval therebetween.

The effect(s) of the test substance(s) on the neural cells is determinedby measuring the expression of one or more markers in the neural cells.Depending on the marker or markers chosen, it is possible to assay forformation of neural precursor cells, neurons, astrocytes, oroligodendrocytes.

In one embodiment, the effect of a particular protein, either native orrecombinant, on neurogenesis or gliogenesis can be determined by addingthe protein to a culture of neural cells growing on a MSC or SB623 ECMand assaying for the appropriate neuronal or glial marker. Optionally, alow concentration (1%, 2%, 5%, 10%, 20%, 30%, 40%, 50% or any valuetherebetween) of conditioned medium from MSC or SB623 cells can also beincluded in the culture. For example, inclusion of conditioned mediumcan provide additional factors required for the process under study,other than the one being tested, thereby allowing the effect of onecomponent of a multi-factor signaling system to be assessed.

Molecular and morphogenetic markers for neural precursor cells, neurons,astrocytes and oligodendrocytes are well-known in the art; the followingare provided as examples.

Markers for neural precursor cells include, for example, nestin,glutamate transporter (GLAST), 3-phosphoglycerate dehydrogenase (3-PGDH,astrocyte precursors), ephrin B2 (EfnB2), Sox2, Pax6, and musashi. Incertain embodiments, proliferative capacity can also be used as a markerfor neural precursor cells. Proliferative capacity can be measured, forexample, by incorporation of bromodeoxyuridine, carboxyfluoresceindiacetate succinimidyl ester (CFSE) labeling, expression of Ki-67 orexpression of proliferating cell nuclear antigen (PCNA).

Markers for neurons include, for example, microtubule-associated protein2 (MAP2), β-tubulin isotype III (also known as β-III tubulin and TuJ-1),doublecortin (DCX), neurofilament proteins (e.g., neurofilament-M),synaptophysin, and neuron-specific enolase (also known as enolase-2 andgamma enolase). Neurite outgrowth can also be used as a marker forneuronal development.

Additional neuronal markers are listed in the following table:

Early Neuronal Markers ATH1 [MATH1] Nuclear ASH1 [MASH1] Nuclear Hes5Nuclear HuC (Hu, Rodent) Very early marker, Nuclear HuD NuclearInternexin α Cytoplasmic, soma, early neurites L1 neural adhesionmolecule Plasma membrane MAP1B [MAP5] Cytoplasmic, soma, dendriticMAP2A, 2B Cytoplasmic, soma, dendritic Nerve Growth Plasma membraneFactor Rec (NGFR) p75 Nestin Cytoplasmic NeuroD Nuclear Neurofilament L68 kDa Cytoplasmic Neuron Specific Enolase (NSE) Cytoplasmic NeuNNuclear, Nkx-2.2 [NK-2] Nuclear Noggin Secreted Pax-6 Nuclear, eyedevelopment PSA-NCAM, clone Plasma 2-2B membrane Tbr1 Nucleus Tbr2Nucleus Tubulin, βIII Cytoplasmic, neuritis TUC-4 Axonal growth conesTyrosine Cytoplasmic, Hydroxylase (TH) adrenergic neuron lineageImmature Neuron & Growth Cone Markers Collapsin Response Growth coneMediated Protein 1 [CRMP1] Collapsin Response Growth cone MediatedProtein 2 [CRMP2] Collapsin Response Growth cone Mediated Protein 5[CRMP5] Contactin-1 Cytoplasmic Contactin-1 Cytoplasmic Cysteine-richmotor Cytoplasmic, neuron 1 [CRIM1] motor neurons c-Ret phosphorCytoplasmic Serine 696 Doublecortin [DCX] Cytoplasmic, migrating neuronsEphrin A2 Plasma membrane Ephrin A4 Plasma membrane Ephrin A5 Plasmamembrane Ephrin B1 Plasma membrane Ephrin B2 Plasma membrane Ephrin BphosphoTyr298 Plasma membrane Ephrin B phosphoTyr317 Plasma membraneEphrin B phosphoTyr331 Plasma membrane GAP-43 Plasma membrane GAP-43,Plasma membrane phosphoSer 41 HuC/D Internexin alpha Laminin-1 Plasmamembrane LINGO-1 Cytoplasmic MAP1B [MAP5] Mical-3 Growth cones NAP-22Plasma membrane, growth cones NGFR Nestin Netrin-1 Plasma membraneNeurite Outgrowth Quantification Assay kit Neuropilin Plasma membranePlexin-A1 Plasma membrane, growth cone RanBPM Cytoplasmic, growth coneSemaphorin 3A Plasma membrane, growth cone Semaphorin 3F Plasma membraneSemaphorin 4D Plasma membrane Slit2 Secreted Slit3 Secreted StaufenCytoplasmic Tbr 1 & 2 Trk A Plasma membrane Tubulin, βIII TUC-4 NeuronalMarkers—Nuclear HuD Postmitotic neurons NeuN Nuclei of most neuronsPeripherin Peripheral neurons Neuronal Markers—Cytoplasmic MAP2A, B, C.All neurons, soma, dendrites Tubulin, βIII All neurons, soma, axons CDK5[NCLK], Soma perikarya MacMARCKS Soma MARCKS Soma Neurofilaments Allneurons, soma, axons, proximal dendrites Neuron Specific CytoplasmicEnolase (NSE) Parvalbumin Neurons, muscle Protein Gene All neurons,Product 9.5 [PGP9.5] neuroendocrine cells STEP NMDAR expressing neuronsSTOP [N-STOP, Soma, dendrites Stable tubule-only polypeptide] Tau AxonsTau phospho specific Axons CD90 [Thy-1] Neurons, thymocytes, connectivetissue CDw90 [Thy-1.1] Neurons, thymocytes, connective tissueEncephalopsin PO, PVN, Purkinje cells, other select regions GAD65[Glutamate Glutamatergic Decarboxylase] neurons GAP-43 [GrowthDifferentiating and Associated Protein 43] regenerating neurons LINGO-1Differentiating and regenerating neurons Na+/K+ ATPase subunits Allneurons Neuron Cell Surface Neurons, glia Antigen [A2B5] Post-synapticreceptors 4.1G Neuron specific Acetylcholinesterase Cholinergic Ack1Clathrin-mediated endocytosis AMPA Receptor Postsynaptic Binding Protein[ABP] ARG3.1 Presynaptic, plasticity related Arp2 Most neuronsE-Cadherin Cell junctions N-Cadherin Cell junctions CalcyonPostsynaptic, Dopaminergic Catenin, alpha and beta Cell junctionsCaveolin Presynaptic CHAPSYN-110 Postsynaptic [PSD93] Chromogranin APeripheral, Neuroendocrine, presynaptic Clathrin light chain PresynapticCofilin Postsynaptic Complexin 1 Presynaptic [CPLX1, Synaphin 2]Contactin-1 Cell junctions CRIPT Postsynaptic Cysteine StringPresynaptic Protein [CSP] Dynamin 1 and 2 Presynaptic Flotillin-1Presynaptic Fodrin Perisynaptic GRASP Postsynaptic GRIP1 PostsynapticHomer Postsynaptic Mint-1 Presynaptic Munc-18 Presynaptic NSFPresynaptic PICK1 Postsynaptic PSD-95 Postsynaptic RAB4 PresynapticRabphillin 3A Presynaptic SAD A & B Presynaptic SAP-102 PostsynapticSHANK1a Postsynaptic SNAP-25 Presynaptic Snapin Presynaptic SpinophilinPostsynaptic, [Neurabin-1] dendritic spines Stargazin Postsynaptic,AMPAR Striatin Postsynaptic, dendritic SYG-1 Perisynaptic SynapticVesicle Presynaptic Protein 2A & 2B Synapsin 1 Presynaptic Synapsin 1phospho Presynaptic specific Synaptobrevin [VAMP] PresynapticSynaptojanin 1 Presynaptic Synaptophysin Presynaptic SynaptotagminPresynaptic Synaptotagmin Presynaptic phospho specific synGAPPostsynaptic Synphilin-1 Perisynaptic, synuclein related Syntaxin 1, 2,3, 4 Presynaptic Synuclein alpha Presynaptic VAMP-2 PresynapticVesicular Acetylcholine Presynaptic Transporter [VAChT] Vesicular GABAPresynaptic transporter [VGAT; VIAAT] Vesicular Glutamate PresynapticTransporter 1, 2, 3 [VGLUT] Vesicular Monoamine Presynaptic Transporter1, 2 [VMAT] Neuronal Markers—Cholinergic Acetylcholine (ACh) PresynapticAcetylcholinesterase Perisynaptic Choline Cytoplasmic Acetyltransferase[ChAT] Choline transporter Plasma Membrane Vesicular AcetylcholinePresynaptic Transporter [VAChT] Neuronal Markers—Dopaminergic AdrenalinePresynaptic Dopamine Presynaptic Dopamine Beta Cytoplasmic Hydroxylase[DBH] Dopamine Plasma Transporter [DAT] Membrane L-DOPA CytoplasmicNitric Oxide-Dopamine Presynaptic Norepinephrine PresynapticNorepinephrine Plasma Transporter [NET] Membrane Parkin CytoplasmicTyrosine Hydroxylase [TH] TorsinA Cytoplasmic, ER NeuronalMarkers—Serotonergic DL-5- Presynaptic Hydroxytryptophan SerotoninPresynaptic Serotonin Plasma Transporter [SERT] Membrane TryptophanCytoplasmic Hydroxylase Neuronal Markers—GABAergic DARPP-32 GABAergicneurons in CNS; Medium spiny neurons GABA Presynaptic GABA TransportersPlasma 1, 2, 3 Membrane Glutamate Cytoplasmic Decarboxylase [GAD]Vesicular GABA Presynaptic transporter [VGAT; VIAAT] NeuronalMarkers—Glutamatergic Glutamate Presynaptic Glutamate PlasmaTransporter, Glial Membrane Glutamate Transporter, Plasma NeuronalMembrane Glutamine Cytoplasmic Glutamine Synthetase, Cytoplasmic cloneGs-6 Vesicular Glutamate Presynaptic Transporter 1, 2, 3 [VGLUT]

Glial fibrillary acidic protein (GFAP), glutamate transporter (GLAST),3-PGDH and glutamine synthetase can be used as markers for astrocytes.

Markers for oligodendrocytes include, for example, the A2B5 antigen,galactocerebroside (GalC), 2′,3′-cyclic nucleotide 3′ phosphodiesterase(CNPase), the O1 antigen, the O4 antigen, myelin basic protein,oligodendrocyte transcription factor 1, oligodendrocyte transcriptionfactor 2, oligodendrocyte transcription factor 3, NG2, andmyelin-associated glycoprotein.

Expression of markers can be measured by techniques that are well-knownin the art. For example, expression of proteins can be measured andquantitated by immunofluorescence, immunohistochemistry (1HC), ELISA andprotein blotting (e.g., Western blots).

Expression of mRNA can be measured and quantitated by methods including,for example, blotting, nuclease protection and reversetranscription-polymerase chain reaction (RT-PCR).

Depending on the test substance and marker being assayed, it may benecessary to ensure that the assay is specific for the molecule producedby the neural cell and does not cross-react with the same or a similarmolecule produced by the test substance, especially if the testsubstance is a cell, such as a MSC or a SB623 cell. For example, MSCexpress nestin; therefore, if nestin is being assayed as a marker for aneural precursor cell in a co-culture of rat cortical cells and humanMSC, an antibody specific for rat nestin is used in the assay.Similarly, if nucleic acid expression is assayed, such as byquantitative reverse transcription/polymerase chain reaction (qRT-PCR)or TaqMan, species-specific primers (and probes, if applicable) areused.

In certain embodiments, the expression of a marker by a neural cell inthe assay described above (i.e. co-culture of neural cells and testsubstance) is compared to the expression of the same marker in neuralcells in the absence of the test substance(s).

The assays described herein can also be used to quantitate thedifferentiation of neural precursor cells (NPCs) by measuring expressionof markers characteristic of the progeny of NPCs, which include neurons,astrocytes and oligodendrocytes. Such markers are well-known in the artand exemplary markers have been described herein.

In certain embodiments, a kit for assaying the neurogenic or gliogenicpotential of a test substance, or for assaying the ability of asubstance to promote the growth and/or differentiation of neuronalprecursor cells, is provided. The kit contains one or both of MSC andSB623 cells (optionally in a cryopreserved state), along with one ormore culture vessels, and optionally culture medium, to allow the userto grow the MSC or SB623 cells on the culture vessel. The kit may alsocontain reagents (e.g., nonionic detergents such as Triton X-100 orNonidet P-40; ammonium hydroxide) for removing the MSC or SB623 cellsfrom the culture vessel so as to leave an extracellular matrix depositedon the surface of the culture vessel. The kit can also contain a sampleof neural cells (e.g., rat E18 cortical cells). Labeled antibodies tovarious neuronal and glial markers may also be included in the kit; andoligonucleotide probes and/or primers specific for mRNAs encodingneuronal and glial markers can also be included. Any type of reagentthat will detect a neuronal or glial marker (e.g., a protein) or itsencoding mRNA can be included in the kit. Reagents and/or buffers and/orapparatus suitable for immunohistochemistry, FACS, RT-PCR,electrophysiology and pharmacology can also be included in the kit.

In additional embodiments, a kit as disclosed herein can contain one ormore culture vessels with an ECM from MSC or SB623 cells depositedthereon. Such a kit can optionally include neural cells and reagents(e.g., antibodies, probes, primers) to detect neuronal and/or glialmarkers. Such a kit can also optionally include reagents and/or bufferssuitable for immunohistochemistry, FACS, RT-PCR, electrophysiology andpharmacology.

In additional embodiments, a kit can contain purified extracellularmatrix from MSC or SB623 cells (or a mixture thereof), for applicationto a culture vessel.

In further embodiments, a kit comprises a solid substrate (e.g., aculture vessel) with a biological layer deposited thereon, wherein thebiological layer is an extracellular matrix deposited by:

(a) a mesenchymal stem cell, or

(b) a mesenchymal stem cell that has been transfected with a nucleicacid, wherein the nucleic acid encodes a Notch intracellular domain butdoes not encode full-length Notch protein.

In the operation of the kits, neural cells are grown in contact with anextracellular matrix from MSC or SB623 cells, in the presence of a testsubstance, and the neural cells are analyzed for the expression of achosen neuronal or glial marker. With certain of the aforementionedkits, deposition of the ECM on a culture vessel (by MSC and/or SB623cells) and removal of the cells that elaborated the ECM, is conducted bythe user prior to adding the neural cells and the test substance to theculture vessel.

EXAMPLES General Methods

MSC and SB623 Cell Preparation

MSC and SB623 cell preparation has been described [29]. Briefly, humanadult bone marrow aspirates (Lonza, Walkersville, Md.) were grown inαMEM (Mediatech, Herndon, Va.) supplemented with 10% fetal bovine serum(FBS) (Hyclone, Logan, Utah), 2 mM L-glutamine, andpenicillin/streptomycin (both from Invitrogen, Carlsbad, Calif.). On thesecond passage, some cells were cryopreserved (MSC preparation) and somecells were plated for, the preparation of SB623 cells. For SB623 cellpreparation, MSC were transfected with a pCI-neo expression plasmidencoding the human Notch1 intracellular domain (NICD). After one day ofculture, transfected cells were placed under selection with G418(Invitrogen) for 7 days, after which selection was removed and thecultures were grown and expanded by passaging twice. SB623 cells werethen harvested and cryopreserved using Cryostor CS5 (BioLife Solutions,Bothell, Wash.). Cells from 3 different donors were used in the studiesdescribed herein. MSC and SB623 cells were thawed and washed once withαMEM before use. For co-culture experiments, cells were then resuspendedin a neural growth medium consisting of Neurobasal medium supplementedwith 2% B27 and 0.5 mM GlutaMAX (all from Invitrogen). For theproduction of ECM coating or the production of conditioned medium (CM),cells were plated in αMEM supplemented with 10% FBS andpenicillin/streptomycin.

Plate Coating

For the preparation of wells coated with ECM, SB623 cells were plated at3×10⁴ cells/cm² in 96-well plates or on glass cover slips (FisherScientific, Pittsburgh, Pa.) which were placed into 12-well plates (allplates were purchased from Corning Inc, Corning, N.Y.) and grown for 5days. Subsequently the medium was changed to serum-free, and the cellswere cultured for an additional 2 days. Cells were then removed from theECM using a protocol described previously [29] with some modifications.Briefly, cells were treated with 0.2% Triton X-100 (Sigma-Aldrich, St.Louis, Mo.) in water at room temperature for 40 min; then cell lysateswere carefully aspirated, and a 1:100 (v/v) solution of concentratedNH₄OH (Sigma-Aldrich) in water was slowly added for 5-7 min, thenremoved. For washing, the wells were filled completely with PBS andincubated for at least 3 hours. Wells were either used immediately orstored at 4° C.

Conditioned Medium (CM) Preparation

MSC or SB623 cells were plated at 3×10⁴ cells/cm² and grown in aMEMsupplemented with 10% FBS and penicillin/streptomycin for 3-4 days untilconfluence. Then the medium was replaced with Neurobasal medium(Invitrogen), and the cultures were incubated for 1-2 hours. This mediumwas discarded and replaced with fresh Neurobasal medium, using half ofthe volume typically used for cell growth. The cells were incubated for24 hours, after which the medium was collected, and particulate matterwas removed by centrifugation. The medium was dispensed in aliquots andstored at −70° C. MSC-CM preparations were supplemented with 2% B27 and0.5 mM GlutaMAX before use.

Preparation of Rat Embryonic Brain Cortical Cells

Rat embryonic (E18) brain cortex pairs were purchased from BrainBits(Springfield, Ill.); and a cell suspension was prepared as described[29]. Briefly, cortices were incubated with 0.25% Trypsin/EDTA at 37° C.for 5-7 min, and trypsin was removed. The tissue was washed with αMEMcontaining 10% FBS, then with PBS. DNase (MP Biomedicals, Solon, Ohio)at 0.25 mg/ml was then added, and the contents of the tube were mixed byvortexing for 30 sec. The resulting cell suspension was triturated,diluted with PBS, pelleted and then resuspended in neural growth medium(described above).

Co-Culture Experiments

Plates, coated as described above, were pre-warmed with a portion ofneural growth medium, and then varying numbers of mesenchymal cells wereadded. Subsequently, neural cells were added at a density of 1.5×10⁴cells/cm² to all but control wells, and cultures were incubated for theindicated time periods. For each time point, a separate plate was usedthat included quadruplicate samples. For quantitation, cells were platedin 96-well plates and MSC or SB623 cells were added at decreasingdensities, starting at 1.5×10³ cells/cm² (i.e., 500 cells per well) Forimmunostaining, cultures were plated on ECM-coated cover slips in12-well plates. MSC or SB623 cells were added at a constant cell densityof 1.5×10³ cells/cm² unless indicated otherwise.

In a subset of experiments, in which the effects of cells (MSC or SB623)were compared to the effects of their conditioned medium, acryopreserved aliquot of cells was used to generate the conditionedmedium prior to an experiment, and an aliquot of cells from the samedonor was thawed on the day of experiment to generate a correspondingcell suspension. Cells were applied at decreasing concentrations asdescribed above and conditioned medium was used at decreasingconcentrations starting from 50% of total medium. For quantitation ofgene expression, all culture conditions were tested on the same PCRplate using the same standard curve for each neural marker.

Medium was not changed during co-culture experiments (which lasted for7-8 days in 96-well format and for up to 14 days with the cells on coverslips). No signs of culture decline were noticed and the viability ofneural cells was above 95% when assessed on the last day of culturingusing Trypan Blue exclusion.

In another set of experiments, when cells were co-cultured undernon-adherent conditions, Ultra-Low Adhesion Costar 12- or 24-well plateswere used. Mesenchymal and neural cells were mixed in the indicatedquantities and plated in neural growth medium. As a control, neuralcells were grown alone or in the presence of 20 ng/ml or 50 ng/ml eachof EGF and FGF2 purchased from either R&D Systems (Minneapolis, Minn.)or Peprotech (Rocky Hill, N.J.). Medium was not changed over the courseof the experiment (2 weeks).

Immunocytochemistry

Cultures that were grown on glass cover slips were fixed with 4%paraformaldehyde (Electron Microscopy Science, Hatfield, Pa.) for 20min, washed once with PBS and incubated for 30 min in blocking solutioncontaining 10% normal donkey serum (Jackson Immunoresearch, West Grove,Pa.), 1% bovine serum albumin (Sigma-Aldrich), 0.1% Triton X-100. Then agoat polyclonal antibody against rat Nestin (R&D Systems, Cat #AF2736)was added into the blocking solution at 1:1000 and incubated overnightat 4° C. Cover slips were washed with PBS and then either rabbitpolyclonal anti-glial fibrillary acidic protein (GFAP) (Dako, Denmark)(1:2000), mouse monoclonal anti-microtubule-associated protein 2 (MAP2)(Sigma-Aldrich) (1:1000), or mouse monoclonal anti-2′,3′-cyclicnucleotide 3′-phosphodiesterase (CNPase) (Millipore, Billerica, Mass.)(1:200) was added and the cover slips were incubated for 1 hour at roomtemperature. After washing, cover slips were incubated for 1 hour withsecondary antibodies: DyLight 488-conjugated AffiniPure donkey anti-goatF(ab′)₂ fragments of IgG (1:1000) in combination with either DyLight 549488-conjugated AffiniPure anti-rabbit F(ab′)₂ fragments of IgG (1:2000)or Cy3-conjugated AffiniPure donkey anti-mouse IgG (1:1000), all fromJackson Immunoresearch, and all selected for use in multiple labeling bythe manufacturer. After washing with PBS and water, the slips weremounted with ProLong Gold antifade reagent containing4′,6-diamidino-2-phenylindole (DAPI) (Invitrogen).

In some experiments, prior to fixation, cells were incubated for 7-8hours with 10 uM 5-bromo-2′-deoxyuridine (BRDU, from Sigma-Aldrich) withor without mitomycin at a concentration of 50 ug/ml. Cultures then werefixed with 2% PFA, peimeabilized with 0.5% Triton and treated withdeoxyribonuclease (MP Biomedicals, Solon, Ohio) in a buffer containing0.15 M NaCl and 4.2 mM MgCl₂ for 1 h at 37° C. The cultures were thenpost-fixed with cold methanol (Fisher Scientific, Fair Lawn, N.J.) for10 min. After blocking as described above, the cultures were incubatedwith anti-BRDU monoclonal antibody (BD Pharmingen), then with theanti-mouse secondary antibody described above, then with AlexaFluor-conjugated TUJ1, a Neuronal Class III β-Tubulin-specific antibody(Covance, Princeton, N.J.).

Fluorescence microscopy was conducted using a Nikon Eclipse50i (NikonInstruments, Melville, N.Y.) and a Nikon Digital Camera DXM1200C.

Under the conditions described herein, none of antibodies reacted withthe mesenchymal cells.

Gene Expression Quantification

Growth and culture of cells, for quantitation of expression of mRNAsencoding various neural markers, was conducted in 96-well plates. Afterculturing for the indicated time, the culture medium was carefully andcompletely aspirated using a Nunc ImmunoWasher equipped with 10 ulpipette tips; and cells were lysed with 20 ul/well of lysis buffer,either Cell-to-Signal™ (Applied Biosystems/Ambion, Austin, Tex.) orSideStep™ (Agilent Technologies, Santa Clara, Calif.) for 3 min. Thenthe lysates were carefully pipetted up and down and samples (inquadruplicate) were combined pair-wise (thus making biologicalduplicates), transferred to a storage plate and frozen at −70° C.

For gene expression testing, samples were thawed and aliquots werediluted 1:10 with PCR-grade water. A sample with a high expectedexpression level was also used to prepare serial dilutions in 10% lysisbuffer to serve as a series of standards for the quantification. Thediluted samples were used as templates in one-step qRT-PCR reactions, incombination with QuantiTect® Probe RT-PCR Master Mix from Qiagen(Valencia, Calif.) and TaqMan® gene expression assays purchased fromApplied Biosystems (Foster City, Calif.). The absence of cross-reactionbetween corresponding mRNAs from rat and human cells was established inexperiments involving rat neural cells, as well as human mesenchymal andneural cells. The following pre-optimized assays, all designed acrossexon-exon boundaries, were used: rat-specific—nestin (Rn00564394_m1),MAP2 (Rn00565046_m1), GFAP (Rn00566603_m1), CNPase (Rn01399463_m1),Doublecortin (Dcx)(Rn00584505_m1), glyceraldehyde 3-phosphatedehydrogenase (rGAP)(Rn-1462661_g1); and human-specific—glyceraldehyde3-phosphate dehydrogenase (huGAP) (4333764F), bone morphogenetic protein4 (BMP4) Hs00370078_m1, and fibroblast growth factor 2 Hs00266645_m1.Numbers in parentheses refer to the manufacturer's (Applied Biosystems)assay ID numbers. For amplification reactions, a LightCycler 480 (Roche,Mannheim, Germany) was programmed according to the Master Mixmanufacturer's protocol, with 40-60 amplification cycles. Analysis wasdone using a Second Derivative Maximum method.

Assessment of Neuritogenesis

Neural cells were plated at 1.5×10⁴ cells/cm² alone or together witheither MSC or SB623 cells at 1.5×10³ cells/cm² on ECM-covered glasscover slips in neural growth medium containing 10-fold less B27 thannormally used (0.2%), and allowed to grow for 18-24 hrs. Then thecultures were fixed and stained for MAP2 expression and mounted withDAPI-containing medium, as described above. Approximately 12-15 fieldswere photographed using the same exposure time, and a total of 20neurons per condition were analyzed. The length of the longest neuritewas measured for each cell and the number of neurites per cell wascounted.

Example 1 Effect of Mesenchymal Cells on Proliferation and NeuronalDifferentiation

The composition of ECM-based neural cultures grown with or withoutmesenchymal cells was first analyzed using immunocytochemistry forNestin, a marker of neural stem cells/early progenitors, and MAP2, aneuronal marker. At various times cultures were fixed and incubated withrat-specific anti-Nestin antibody and anti-MAP2 antibody. All cultureswere also counterstained with the nucleus-specific dye DAPI. Fixed andstained cultures were then examined by fluorescence microscopy. On day1, single positive Nes⁺ and MAP2⁺ cells were present in all culturestested, along with some MAP2⁺Nes⁺ double-positive cells, in which MAP2staining and Nestin staining were co-localized. There was also a smallfraction of double-negative cells. By day 3, no double-positive cellswere detected, while single-positive cells extended their processes. Onday 5, MAP2⁺ neurons continued to extend neurites, while Nes⁺ cells weresignificantly increased in numbers. At this time point, Nes⁺ cellsformed colonies. A greater number of colonies, and larger colony size,were observed in the presence of mesenchymal cells. Double-positivecells were not detected.

By day 9, a large number of MAP2⁺Nes⁺ double-positive cells wereobserved, as well as MAP2⁺Nes⁻ neurons and MAP⁻Nes⁺ cells. Thedouble-positive cells were found in greater numbers in co-cultures withSB623, compared to co-cultures with MSC, while cultures withoutmesenchymal cells had the smallest number of MAP2⁺Nes⁺ cells. Thesedouble-positive cells had nuclei of a characteristic bilobular shape,thin MAP2-positive processes, and a strong Nestin reactivity localizedto a perinuclear area—most frequently, to a cleft between two nuclearlobes situated adjacent to the most prominent outgrowth. This morphologyresembled that of the MAP2⁺Nes⁺ double-positive cells present on thefirst day of culturing.

When neural cells and mesenchymal cells were co-cultured on PDL,approximately the same frequency of double-positive and single-positivecells were observed on Day 1 of culture as were observed when cells wereco-cultured on ECM. At later time points, no developed single-positiveNes⁺ cells were detected (very rare Nes⁺ cells were round, with densenuclei). By Day 5 of culture, only a small number of double-positivecell colonies, each consisting of very few cells, were observed. Theseresults indicate that, on PDL, most or all Nes⁺ cells were committed toneuronal differentiation. At day 9, double-positive colonies were moreprominent in the presence of mesenchymal cells than in their absence.

The status of mesenchymal cells in co-cultures was also examined usingphase contrast microscopy and staining for α-smooth muscle actin, amesenchymal marker. On PDL, mesenchymal cells were barely spread andusually disappeared around day 5-7. On ECM, mesenchymal cells wereeasily detected throughout the duration of co-culturing; they appearedwell-spread, moving, and appeared to be slowly proliferating.

Neuritogenesis was very active on both ECM and PDL in co-cultures, butwas further enhanced in the presence of mesenchymal cells during first18-24 hrs in culture. To increase this differential response, cultureswere plated in neural growth medium with a low concentration of B27supplement. Under these conditions, longer neurites were observed in thepresence of MSC or SB623 cells after 24 hours of co-culturing, than incultures of neural cells alone (Table 1). However, no significantdifference in numbers of neurites was noticed (Table 1).

TABLE 1 Length and Numbers of Neurites on Day 1 ECM + MSC ECM + SB623cells ECM (n = 19) (n = 23) (n = 22) length number length number lengthnumber Median 15 2 18 3 25 3 Average 15.3 +/− 6.3 2.6 22 +/− 13.9 2.631.6 +/− 19.7 3.1 Maximum 25 70 85 Neurite length is expressed in μm

Example 2 Effect of Mesenchymal Cells on Astrogenesis

Astrocyte development was assayed by immunohistochemical analysis forexpression of glial fibrillary acidic protein (GFAP). Double-staining ofECM-based cultures for glial fibrillary acidic protein (GFAP, anastrocyte marker) and Nestin revealed the absence of GFAP reactivitybefore day 3 in all cultures. Around day 5, GFAP-expressing cells beganto be observed in co-cultures within Nes⁺ colonies as single- ordouble-positive cells. GFAP-expressing cells were not observed incultures not containing mesenchymal cells. Different colonies hadvariable proportions of GFAP⁺Nes⁺ cells and the more fullydifferentiated GFAP⁺Nes⁻ cells. No GFAP⁺ cells were detected at thistime in cultures lacking mesenchymal cells. On day 9, all threephenotypes (GFAP⁺Nes⁺, GFAP⁻Nes⁺, and GFAP⁺Nes⁻) were present in allcultures, with GFAP⁺Nes⁻ cells predominating.

With respect to its intracellular localization, GFAP immunoreactivityappeared initially (at day 5) as intercalating filaments beside orwithin Nestin filaments in some Nestin-positive filamentous cells.Later, Nestin was practically displaced by GFAP in certain cells, asevidenced by a patchy distribution of Nestin staining, while other cellscontinued to express Nestin only. In co-cultures, GFAP⁺Nes⁺ cells hadgenerally the same morphology as GFAP⁺Nes⁻ cells, while among GFAP⁻Nes⁺cells, morphology varied. One type of cell had very long processes,frequently exceeding 200 μm. Other types were small GFAP⁻Nes⁺ cells,with Nestin reactivity localized eccentrically with respect to thenucleus, either as a “lace” from one side of nucleus, or concentrated ina cleft of a bilobular nucleus and extended into a process positionedagainst the cleft. The latter morphology was similar to that ofNes⁺MAP2⁺ cells described in the previous example.

No GFAP⁺ cells were detected when co-cultures were conducted on PDL.

Example 3 Effect of Mesenchymal Cells on Oligodendrogenesis

Oligodendrogenesis was assessed by immunohistochemical analysis ofexpression of the early oligodendrocyte marker 2′,3′-cyclic nucleotide3′ phosphodiesterase (CNPase). CNPase⁺ cells could not be detectedbefore day 9 of co-culture. On day 12, in cultures grown on ECM in theabsence of mesenchymal cells, CNPase reactivity could be detected onlyin a very few, usually dividing, cells. At the same time point, inco-cultures with mesenchymal cells, CNPase⁺ cells appeared in clusters,with CNPase expression localized to the perinuclear area. In co-cultureswith SB623 cells, CNPase staining was both more intense and moreextensive, extending throughout the cytoplasm. Expression of CNPase didnot co-localize with Nestin expression.

No CNPase⁺ cells were detected when co-cultures were conducted on PDL.

Example 4 Neural Cell Proliferation in Co-Cultures

Proliferation of neural cells was assayed in cultures containing 1.5×10⁴neural cellscells/cm², with or without MSC at 1.5×10³ cells/cm², usingtwo methods. In the first method, DAPI-stained nuclei were counted onslides prepared for immunochemistry analysis as described above. Fivemicroscopic fields at 200×-magnification were counted and averaged percondition, from 2 experiments. Extremely condensed or fragmented nucleiwere considered to be indicative of dead cells. MSC nuclei were excludedfrom counting based on their distinctive size.

In the second method, neural cell proliferation was measured inmicroplate format co-cultures using a quantitative PCR assay for ratnoggin, a single-exon gene (Rn01467399_s) (Applied Biosystems). Theanalysis was conducted as described for qRT-PCR, with the exception thatthe reverse transcription step of the qRT-PCR protocol was omitted.Minimal amplification of human noggin sequences from the MSC wasdetected (FIG. 1B).

The results are shown in FIG. 1. Both methods indicated that, in thepresence of MSC, the number of rat neural cells tripled to quadrupledover the course of 7 days of co-culture with MSC, while in the absenceof MSC, neural cell number barely doubled. As assessed by morphology ofDAPI-stained neural nuclei, 10-20% of cells were dead at any given time(FIG. 1A).

Proliferation of neural precursor cells was also assayed in co-culturesof rat neural cells with MSC on ECM. On day 7 of co-culture, cultureswere treated with BRDU for 7 hours following by fixing andimmunostaining with antibody to BRDU and with the neuron-specific TUJ1antibody. Irrespective of whether neural cells were cultured alone orco-cultured with MSC, at this time point the cultures contained smallcells, with barely developed processes, exhibiting reactivity with bothanti-TUJ1 and anti-BRDU antibodies, indicative of a proliferating neuralprecursor cell. Quantitation of these neural precursor cells, using aPCR assay for the rat noggin gene, showed that their numbers wereincreased when the neural cells were co-cultured with MSC (FIG. 1B).

Example 5 Time Course

In this example, the time course of expression of various neuronal(doublecortin, MAP2), neural precursor (nestin) and glial markers (GFAPand CNPase), in neural cells cultured on ECM, was analyzed in thepresence and absence of 200 MSC/well. Samples were collected at varioustime points and frozen. All samples were subsequently thawed and assayedin parallel by qRT-PCR. Primers, probes and amplification conditionswere as described above. The results are shown in FIG. 2. Levels of theneural markers doublecortin (DCX) and MAP2 are initially high, andincrease with time in culture and co-culture. At intermediate culturetimes, co-culture seems to have little effect on DCX and MAP2 RNAlevels; while, at later times, the activating effect of co-culturebecomes significant. Expression of nestin, a neural precursor cellmarker, was almost undetectable at the initiation of co-culture butincreased steadily over seven days of culture, and was enhanced by thepresence of MSC. Expression of GFAP mRNA, an astrocyte marker, was notdetected in the absence of co-culture with MSC; while in co-cultures itwas first detected on Day 4, with a large increase in expression betweenDays 6 and 7. Expression of CNPase mRNA, an oligodendrocyte marker, wasfirst detected on Day 4 in co-cultures with MSC, and also exhibited asharp increase between Days 6 and 7.

Based on these results, the optimal time for detection of Nestin andCNPase mRNA expression was determined to be Day 5 of co-culture; and theoptimal time for detection of DCX, MAP2 and GFAP mRNA expression wasdetermined to be Day7 of co-culture.

Example 6 Dose Response

For quantitative assays, rat cortex cells (5000 cells/well) werecultured alone or co-cultured with decreasing numbers of MSC, from 500to 32 cells/well. As a control, MSC were also cultured alone at 500cells/well. qRT-PCR Taqman assays for rat Nestin, MAP2, GFAP, and CNPasemRNAs were used to quantify gene expression. A human-specificglyceraldehyde 3-phosphate dehydrogenase (huGAP) qRT-PCR Taqman assaywas used to estimate MSC numbers. FIGS. 3 and 4 show that total levelsof rNes, rMAP2, rCNPase, or rGFAP gene expression in co-culture sampleswere directly dependent on the number of MSC present, MSC number beingquantified by assay for human-specific GAP (huGAP) mRNA. These effectswere not caused by the amplification of human sequences since MSC alonegave no signal using rat-specific PCR probes and conditions.

To observe a MSC-dependent dose response using Nestin, MAP2, or CNPaseas markers, the timing of sampling was important. For example: theoptimal timing for testing rat Nestin gene expression was between day 4and 6, since on day 7 the expression reached saturation.

Rat CNPase mRNA expression was first detected around day 5, long beforethe protein could be detected. At Day 5, CNPase mRNA levels weredirectly proportional to MSC concentration in co-cultures. After day 5,CNPase gene expression levels continued to increase; but by Day 7, theMSC-dose-dependence curve became biphasic (FIG. 5). At these latertimes, higher doses of MSC progressively inhibited CNPase geneexpression over the course of the observation, with lower dosesremaining inductive. This result was confirmed at the protein level:neural cells co-cultured with 1000 cells/cm² of MSC or SB623 hadsignificantly less CNPase staining, compared to neural cells co-culturedwith 100 cells/cm² of MSC or SB623 cells.

Expression of GFAP mRNA showed a strong and consistent dose response tomesenchymal cell concentration, as soon as it could be detected (day 4or 5) and did not demonstrate saturation for the remainder of theculture period (days 7-9).

Example 7 Quantitation of Effects Mediated by Mesenchymal CellConditioned Medium, Mesenchymal Cell ECM, and Live Mesenchymal Cells

In this example, the effects of live MSC on neural cell differentiationwere compared to the effects of their conditioned medium (CM); and theeffects of using ECM as a substrate were compared to the use ofpoly-D-lysine.

Quantitative neural differentiation assays (qRT-PCR) were used todetermine which components of mesenchymal stem cell cultures had thegreatest neuropoietic effects. For this purpose, the response of neuralcells to MSC was compared to that to MSC-CM, and cells were co-culturedeither on ECM- or PDL-coated plates. Decreasing concentrations of MSCand MSC-CM were used to ensure that effects were analyzed belowsaturation. The results are summarized in Table 2. To simplify thepresentation, the table includes only the data from experiments thatincluded the highest concentration of mesenchymal cells (500 cells/well)or MSC-CM (50%). Lower concentrations of these additives stimulatedlower marker expression levels, confirming that the responses wereneither saturated nor down-regulated. The results were expressedrelative to the levels in cultures grown on ECM without additives on theindicated day.

Similar levels of rMAP2 expression on day 1 were observed under all testconditions indicating that initial neuron attachment and development wassimilar. Later, on day 5, the presence of either live MSC or MSC-CMincreased the expression of this marker 2-3-fold on either substrate.Nestin gene expression was 2-3 orders of magnitude stronger on ECM thanon PDL. On day 5, Nestin gene expression was substantially increased inthe presence of both MSC-CM and live MSC on both ECM and PDL. CNPasegene expression on day 5 was induced by live MSC and induced even morestrongly by MSC-CM on ECM-based cultures, while on PDL-based cultures,it was below detection limits. CNPase gene induction could be detectedon PDL on day 7, with MSC-CM being a more effective stimulus than liveMSC. GFAP gene expression was induced on ECM most dramatically by liveMSC and, to a lesser extent, by MSC-CM. On PDL, GFAP expression wasbelow quantification limits throughout the study.

Human GAP expression was also tested on day 1 and on day 7 of thisstudy. On day 1, human GAP gene expression in co-cultures conducted onPDL-coated plates was only slightly lower than in cells cultured on ECM,while on day 7 it was below quantification limits. Microscopicexamination revealed that, after 7 days on PDL, only a few mesenchymalcells survived, and they were barely spread, while on ECM they exhibitedtheir typical morphology and had slightly increased in number. Theresults are summarized in Table 3.

TABLE 2 Relative Expression Levels of Neural Markers on ECM and PDL ECMPDL No add MSC cells* MSC-CM** No add MSC cells* MSC-CM** MAP2 d1 1(11%)   1 (6%)   1.2 (18%)  0.4 (50%)  0.5 (2%)  0.9 (25%) MAP2 d5 1(3%)   2.2 (9%)   3.5 (14%)    1 (1%)  2.8 (7%)  3.5 (7%) Nestin d5 1(6%)   3.8 (3%)   8 (8%) 0 0.001 (10%) 0.031 (60%) Nestin d8 1 (26%)  3.4 (3%)   2.9 (21%) 0.012 (100%) 0.086 (23%) 0.024 (45%) GFAP d7 1(91%) 7727 (1%) 1636 (11%) 0 0  1.8 (100%) CNPase d5 1 (100%)  20 (5%) 75 (7%) 0 0 0 CNPase d7 S/I S/I S/I  0.2 (25%)^(#)  7.0 (21%)^(#)  7.5(33%)^(#) Values for each marker are shown relative to values from “Noadd, ECM” for each day. Coefficients of variations are indicated inparentheses. *MSC cells plated at 500 cells/well **MSC-CM at 50%^(#)Relative to the “No add, ECM” sample from day 5 S/I Signal issaturated or inhibited at these time points

TABLE 3 Summary of observations on effects of human MSC, MSC-CM, andMSC-derived ECM on neuropoiesis in rat E18 cortical cell cultures PDLECM No add N, Nn, S* N, S+, Nn+, A+, O+ MSC, cells N, S*, Nn+, O*, A N,S+++, Nn+++, A+++ O+++ MSC, CM N, S*, Nn+, O* N, S+++, Nn+++, A++, O+++Growth of each cell population estimated and expressed by “+”.Abbreviations: A, astrocytes; O, oligodendrocytes; N, existing neurons,likely not proliferating; Nn, newborn neurons (Nes+), proliferating; S,neural stem/early progenitors. *Transcription of the marker can bedetected, while the protein is undetectable, or only very few positivecells are detected during 9 days of culturing.

Example 8 Effects of MSC in Non-Adherent Cultures

In the experiments described above, the ECM coating of plates wasproduced by confluent layers of mesenchymal cells whose concentrationwas approximately 40-fold greater than the highest concentration ofmesenchymal cells used in the co-cultures. To clarify whether the strongstimulation of neural stem/early progenitor cell proliferation anddifferentiation in co-cultures was caused by the presence of mesenchymalECM in co-cultures, cortical cells were mixed with decreasing numbers ofMSC or SB623 cells and co-culture was conducted under non-adherentconditions, in plates coated with poly-D-lysine (PDL). As controls,cortical cells were plated alone, with or without FGF2 and EGF; andmesenchymal cells were plated alone at the highest concentration used inco-culture.

For poly-D-lysine (PDL) coating, plates were coated with PDL(Sigma-Aldrich) at 10 μg/ml in water for 1 hour at room temperature.Then the PDL solution was aspirated, wells were allowed to dry, and thenwashed once with PBS. Before cells were plated in these coated wells,the PBS was replaced with a portion of the neural growth medium, and theplates were warmed in an incubator during cell suspensions preparation.

Cells were co-cultured for 14 days. During this time, cell aggregateswere formed in all wells. In cultures of mesenchymal cells alone, theseaggregates were small and no visible increase in their size was observedduring the culture period; indeed, many of them died. Under all otherconditions, aggregates grew significantly, forming typical neurospheres.At the end of the incubation, the total contents of all wells wascollected, pelleted, and lysed in equal volumes of lysis buffer; thentested by qRT-PCR for the expression of rat neural markers. FIG. 6provides representative results, showing that the presence of MSCstrongly stimulated rNes, rMAP2, rGFAP, and rCNPase expression in adose-dependent fashion under non-adherent conditions in the absence ofan ECM. The expression of rat doublecortin (rDCX, a marker ofproliferating neurons) was also stimulated by MSC on the PDL-coatedsubstrate. MSC also induced expression of rGAP in a dose-dependentfashion, indicating that co-culture with MSC stimulated an increase inthe overall numbers of viable rat neural cells.

When neurospheres observed in co-cultures containing the highest dose ofMSC were compared to neurospheres grown in the presence of FGF2 and EGF,the former had one-third the level of Nestin gene expression, but2.5-fold higher Dcx expression and 55-fold higher GFAP expression, aswell as higher levels of MAP2, CNPase, and rGAP expression (1.5, 3.5,and 3 times, respectively). Human GAP (huGAP) mRNA was detected in MSCcultured alone under non-adherent conditions, but its levels weredramatically reduced when the same number of cells were co-cultured withneural cells (17.2 and 3.1, respectively). Lower doses of MSC exhibitedhuGAP expression levels that were below quantification limits. Thisindicated that the neural cell environment, in combination withnon-adherent conditions, was unfavorable for growth of mesenchymalcells, and they did not survive at lower plating doses. Nevertheless,their ability to stimulate neural development persisted.

In cortical cells cultured in the absence of bFGF and EGF, geneexpression of all neural markers was low, as was expression of rat GAP.In co-cultures with MSC, expression of all markers was increased in adose-dependent fashion, despite the fact that the majority of MSC diedin co-cultures, as well as when cultured alone (as indicated by huGAPlevels).

Similar results were obtained using SB623 cells instead of MSC. Theseresults show that the stimulatory effects of mesenchymal cells observedin co-cultures on ECM are not due to the ECM itself.

Example 9 Effect of Attachment Conditions

The effects of attachment conditions on the differentiation of neuralcells in co-culture were assessed. To this end, neural cells wereco-cultured with MSC on SB623 cell derived ECM-coated plates, onornithine/fibronectin-coated plates, and on Ultra Low Attachment (ULA)plates (Corning, Lowell, Mass.). Ornithine/fibronectin-coated platessupported attachment of MSC. On ULA plates, neural cells were culturedeither with a five-fold higher concentration of MSC (compared toco-culture on ECM or ornithine/fibronectin) or with 20 ng/ml each offibroblast growth factor-2 (FGF2) and epidermal growth factor (EGF).

Ornithine/fibronectin coating (Orn/FN) was prepared by incubating wellswith 15 ug/ml poly-L-ornithine (Sigma-Aldrich) in PBS, overnight at 37°C., then washing the wells 3 times, followed by incubation overnightwith PBS at 37° C. After this, wells were incubated with 1 ug/ml bovinefibronectin (Sigma-Aldrich) in PBS, for 3-30 hours and washed oncebefore plating cells.

A mixed suspension of rat cortical cells and human MSC (neural cells/MSCratio 10:1, 1.5×10⁴/cm²) was plated on SB623 cell ECM-coated plates andon ornithine/fibronectin-coated plates. Neural cells mixed with either afive-fold higher concentration of MSC or with FGF2 and EGF (as describedabove) were plated on ULA plates. Marker expression was assayed byqRT-PCR at either 5 or 7 days of co-culture.

The results are shown in FIG. 7. Neural cells co-cultured with MSC onECM expressed significantly higher levels of GFAP, compared to all otherconditions. Nestin expression on ECM-coated plates was significantlyhigher than on plates coated with Orn/FN, and was similar to thatobserved in cells cultured on ULA plates, either stimulated withrecombinant cytokines, or co-cultured with high concentrations of MSC.In 7 days, in co-cultures grown on ECM, rat Nestin and GFAP expressionlevels were significantly higher than on Orn/FN, while rat DCX, CNP, andhuman GAP expression levels were similar Co-cultures grown on ECMexhibited significantly higher expression of GFAP and DCX than didnon-adherent co-cultures.

Non-attached growth (on ULA plates) had a detrimental effect on growthand survival of MSC, as evidenced by the fact that huGAP levels werevery low despite a 5-fold greater MSC concentration on ULA platescompared to ECM and orn/FN-coated plates. Under non-adherent conditions,FGF2/EGF and MSC supported similar levels of Nes and CNPase expression.

In summary, co-cultures of neural cells and MSC grown on ECM-coatedplates contained the most diverse neural cell population, in contrast toco-cultures on Orn/FN or in ULA wells. In particular, co-culture on ECMsupported levels of nestin expression that were comparable to those inFGF2/EGF-driven spheroids, and also supported the highest levels of GFAPexpression under any of the conditions tested.

Example 10 Role of Heparan Sulfate Proteoglycans

In light of the positive effects of ECM on the abundance ofnestin-expressing cells, as described in the preceding example, theeffect of the heparan sulfate proteoglycan components of the ECM onnestin expression were investigated.

For these experiments, plates were coated with SB623 ECM as describedsupra, then ECM was treated with a solution of Heparinase 1(Sigma-Aldrich) in 10 mM HEPES, pH 7.4, 100 mM NaCl, and 4 mM CaCl₂overnight at room temperature and washed once. Heparinase concentrationsare given in the legend to FIG. 8.

Rat cortical cells were cultured on the plates containingheparinase-treated ECM. After five days of culture, nestin expressionwas assayed by qRT-PCR. The results, shown in FIG. 8, indicate thattreatment of ECM with heparinase results in a heparinase-dose-dependentreduction in nestin expression. From these results, it can be concludedthat heparan sulfates contribute to the growth of nestin-expressingneural cells.

Example 11 Expression of Growth Factors and Cytokines by MSC

Quantitative RT-PCR was used to measure the expression, by MSC, of mRNAencoding certain growth factors and cytokines, as shown in Table 4below.

TABLE 4 Crossing point* Standard Deviation BMP-2 35.8 0.3 BMP-4 31.3 1.0BMP-6 33.2 0.6 FGF-1 31.1 0.2 FGF-2 27.7 0.6 FGF-2AS 31.5 0.5 FGFR-227.0 0.3 EGF 29.6 0.5 HBEGF 29.3 0.4 IGFBP5 26.1 0.8 GAP (control) 21.80.4 *The amplification cycle at which signal is first detected

Example 12 Assay for Neurogenic and/or Gliogenic Effects of Cytokines,Growth Factors and Other Proteins

A number of growth factors and cytokines produced by MSC were tested fortheir ability to stimulate neurogenesis and gliogenesis, by adding therecombinant factor, either by itself or with 5% MSC conditioned medium(MSC-CM), to neural cells cultured on ECM.

ECM was produced by growing SB623 cells in culture, then washing thecells from the culture vessel. Primary embryonic rat cortical cells(Brain Bits, Springfield, Ill.) were cultured on the ECM in the presenceof 5% MSC conditioned medium and a particular recombinant cytokine orgrowth factor, as shown in Table 5 below, for 5 or 7 days. The cellswere then assayed for the expression of various rat neuronal and glialmarkers by species-specific quantitative RT-PCR. A summary of theseresults is shown in Table 5.

TABLE 5 Nestin MAP2 GFAP CNPase FGF-1 + + + + FGF-2 + + − + BMP-2 − +BMP-4 − + BMP-6 − + EGF + + − + HB-EGF + + HGF + + IL6 +/− +/− +/− IL8+/− +/− +/− IL1b +/− +/− +/− + + = increase +/− = weak induction − =decrease

Quantitative results showing the effects of three factors (EGF, BMP6 andHB-EGF) on expression of markers for neuronal precursors (Nestin),nascent neurons (DCX), oligodendrocytes (CNPase) and astrocytes (GFAP)are shown in FIG. 9.

Example 13 Role of FGF2 in Upregulation of Nestin Expression

Fibroblast growth factor-2 (FGF2) was secreted by MSC (Table 4, supra)and addition of FGF2 to cortical cells stimulated expression of nestin,MAP2 and CNPase (Table 5, supra). Two additional experiments wereconducted to confirm the role of FGF2 in stimulating nestin expression.In the first, a blocking antibody to FGF2 was added to co-cultures ofneural cells and MSC. In the second, MSC conditioned medium was depletedof FGF2 and added to cultures of neural cells.

For the first experiment, two antibodies were used: bFM1 (a FGF2neutralizing antibody that recognizes both rat and human FGF2) and bFM2(a FGF2-specific non-neutralizing antibody), both obtained fromMillipore, Billerica, Mass. Rat cortical cells were cultured at aconcentration of 5,000 cells/well in the presence or absence of MSC at aconcentration of 200 cells/well. The antibodies were added toco-cultures of cortical cells and MSC at a concentration of 0.2 ug/ml.

The results of this analysis are shown in FIG. 10. Co-culture of neuralcells with MSC enhances nestin expression by the neural cells, asexpected. However, when co-culture was conducted in the presence of theanti-FGF2 neutralizing antibody, nestin expression was reduced to alevel below background. The presence of the non-neutralizing anti-FGF2antibody in the co-culture had little to no effect on MSC-dependentupregulation of nestin expression in neural cells in the co-culture.

For the second experiment, FGF2-depleted MSC-CM, and control MSC-CM,were prepared as follows. MSC-CM was incubated with the anti-FGF2neutralizing antibody bFM1, or with control mouse IgG1, at 5 ug/mlovernight at 4° C. on a rotisserie shaker, followed by the addition ofprotein A/G-plus Agarose (Santa Cruz Biotechnology, Santa Cruz, Calif.)and incubation for 1 hour. After removal of the beads by centrifugation,the supernatant was collected and sterile-filtered.

Neural cells were cultured on ECM-coated plates with no furtheradditions, or with addition of MSC-CM, FGF2-depleted MSC-CM, or controlimmunoprecipitated MSC-CM, for 5 days, and nestin mRNA expression wasmeasured by qRT-PCR. The results are shown in FIG. 11. Addition ofMSC-CM to neural cells resulted in increased nestin expression, asexpected. However, FGF2-depleted MSC-CM had little, if any, stimulatoryeffect on nestin expression. MSC-CM that had been subjected to the sameimmunoprecipitation procedure using a non-FGF2-specific antibodystimulated nestin expression to the same extent as untreated MSC-CM.

These results indicate that MSC-derived FGF2 is a primary factorresponsible for nestin induction in neural cells, and also indicate thatbasal nestin levels in cortical ECM-based cultures were dependent onFGF2, either of rat or human origin.

Example 14 Role of MSC-Derived Factors in Astrocyte Development

The effect of mesenchymal stem cells was compared with the effect ofconditioned medium from mesenchymal stem cells on the expression ofnestin and GFAP in neural cell cultures on ECM-coated plates. As shownin FIG. 12, similar levels of nestin mRNA were induced by 200 MSC perwell and by 10% MSC conditioned medium. However, induction of GFAPexpression by conditioned medium was lower than that induced by cellsthemselves. This result indicated that a component responsible forastrocyte development was less abundant (and/or less active) in MSCconditioned medium that in the MSC themselves.

Bone morphogenetic protein-4 (BMP4), a factor secreted by MSC (Table 4,supra), stimulated expression of GFAP when added to cultures of neuralcells (Table 5, supra). To confirm the role of BMP4 in astrogenesis,co-culture of rat neural cells and MSC was conducted in the presence ofa BMP agonist (noggin) and in the presence of an anti-BMP4 antibody.Recombinant human Noggin protein, obtained from R&D Systems(Minneapolis, Minn.), was included in the co-cultures at a finalconcentration of 30 ng/ml. Polyclonal goat anti-BMP4 and normal goat IgGcontrol were used in co-cultures at 2 ug/ml. These reagents, as well asmouse IgG1 isotype control were obtained from R&D Systems (Minneapolis,Minn.).

FIG. 13 shows that the BMP antagonist noggin inhibited induction of GFAPexpression in neural cells co-cultured with MSC on ECM-coated plates.Partial inhibition of GFAP induction by MSC was also observed whenneural cells were co-cultured with MSC in the presence of an anti-BMP4antibody (FIG. 13).

Attempts were made to immunoprecipitate BMP4 from MSC conditioned mediumby incubating MSC-CM with the anti-BMP4 antibody or control (goat IgG,or no antibody) at 5 ug/ml overnight at 4° C. on a rotisserie shakerfollowing by the addition of protein A/G-plus Agarose (Santa CruzBiotechnology, Santa Cruz, Calif.) for 1 hour. After removing beads bycentrifugation, the supernatant was collected and sterile-filtered.However, GFAP levels did not differ significantly in neural cellscultured in the presence of MSC-CM, compared to neural cells cultured inthe presence of BMP4-depleted MSC-CM. Nonetheless, the anti-BMP4antibody was capable of blocking GFAP induction driven by recombinantBMP4.

The lower astrogenic activity of MSC-CM compared to MSC; the partialdecrease of GFAP levels in co-cultures treated with an anti-BMP4neutralizing antibody; and the lack of effect of BMP4 immunodepletion onthe astrogenic activity of MSC-CM, taken together, suggest either thatthe active BMP4 astrocyte-inducing activity resides within a cell-ECMcompartment (rather than in the medium), or that it is produced by ratcells.

To test whether active BMP4 in co-cultures was produced by MSC or by therat neural cells, production of BMP4 by the MSC was inhibited, prior toco-culturing, using siRNA. For siRNA transfection, freshly thawed MSCwere plated at 0.4×10⁶ cells per 6-well plate in αMEM/10% FBS. Next daycells were transfected with either ON-TARGETplusSMARTpool human BMP4siRNA or a control non-targeting pool at 25 nM, using DharmaFECT®1 (allreagents from Thermo Scientific Dharmacon®, Lafayette, Colo.) accordingto the manufacturer's instructions. Next day cells were trypsinized andlifted, and trypsin was inhibited by adding FBS. Cells then were washedtwice in Neurobasal medium and counted (viability was usually greaterthan 95%).

The day after transfection, equal cell numbers of transfectants wereplated with rat cortical cells and co-cultured for 5 days. On day 5, ratGFAP mRNA levels and human BMP4 levels were assayed. The results, shownin FIG. 14, indicate that rat GFAP mRNA levels were significantlyreduced, and human BMP4 mRNA was virtually undetectable, in co-culturescontaining MSC that had been transfected with BMP4-siRNA; whileexpression of the human GAP and FGF2 genes was not affected. Reductionof GFAP mRNA levels was not observed in cells transfected with controlsiRNA. These results strongly suggested that the BMP4 contributing tostimulation of astrogenesis in the co-cultures was MSC-derived.

CONCLUSIONS AND OBSERVATIONS

On ECM, the growth of Nes⁺ cells was significantly augmented in adose-dependent fashion by live mesenchymal cells or their conditionedmedium, as demonstrated using immunostaining and qRT-PCR, while on PDLthe response to these factors was reduced (FIGS. 1 and 5 and Table 2).This suggests that the proliferation of Nes⁺ stem/early progenitor cellswas stimulated by secreted mesenchymal cell-derived factors, andsynergistically augmented by growth on mesenchymal cell ECM. The mostlikely mechanism for this synergy is the efficient accumulation,preservation, and presentation of mesenchymal cell-derived growthfactors to neural cells by matrix proteoglycans. The conclusion that theproliferation of neural Nes⁺ cells can be stimulated by distantly actingMSC-derived soluble factors is in agreement with a recent report, whichshowed that mouse neurospheres co-cultured with mouse MSC, but separatedfrom them by a semi-permeable membrane, had a high percentage ofKi-67-positive cells [38]. Indeed, MSC are known to secrete many growthfactors that have been shown to participate in the maintenance of neuralprecursors in vivo [16, 30] and the secretion of some of them, includingBMP4, FGF2, EGF, VEGF, and PDGF-AA has been confirmed in the MSC andSB623 cell batches used here [39].

Mesenchymal stromal cells in co-cultures promoted both neuritogenesisand de novo neuron formation from Nes⁺ cells (FIGS. 1 and 2; Tables 1and 2). Both of these effects were observed using immunostaining forMAP2 proteins (MAP2 proteins are specific markers of neuronal cellbodies and neurites); and the combined effect was quantified using anexpression assay for MAP2 mRNA. The enhanced neuritogenesis andincreased numbers of Nes⁺MAP2⁺ cells were observed on both ECM and PDLin the presence of mesenchymal cells, indicating that the solublemediators of both neuritogenesis and neuron formation do not appear torequire ECM for their effects. Indeed, the addition of MSC-CM to eitherECM- or PDL-based cultures elevated MAP2 gene expression as effectivelyas did the addition of live cells (Table 2). Neuritogenic effects of MSCwere previously observed on neurons of different origin [16, 23, 40,41].

Mesenchymal cells, including MSC and SB623, increased the formation ofnew neurons on ECM, as demonstrated by a massive appearance ofdouble-positive Nes⁺MAP2⁺ cells around day 7 in the co-cultures (shownon FIG. 1, day 9). In the absence of mesenchymal cells thesedouble-positive cells appeared later and in smaller numbers. A rat MAP2mRNA expression assay showed a significant increase of signal in aMSC-dose-dependent manner starting from day 5 (FIG. 5) which was similaron ECM and on PDL (Table 2). Since this increase preceded the appearanceof nascent neurons, the MSC dose-dependent increase in MAP2 geneexpression likely reflected the proliferation of neuroblasts.Measurements of levels of mRNA for rat doublecortin (rDcx), a marker ofproliferating neurons, yielded results similar to those for MAP2expression (not shown), indicating that rDcx is likely expressed in bothnascent and mature neurons, as is MAP2.

At the plating densities used here, GFAP expression was a hallmark ofECM-based cultures and was absent in PDL-based cultures. GFAP proteinstaining was closely associated with the staining for Nestin filamentsin Nes⁺ filamentous or flat stellar-shaped cells around day 7 (FIGS. 3Aand 3B). GFAP did not appear in PDL-based cultures, where cells withthis morphology were extremely rare, although some round Nes⁺ cells wereobserved. On ECM, the presence of live mesenchymal cells greatlypromoted GFAP expression, while the presence of MSC-CM was lesseffective (FIG. 3A and Table 1), suggesting that the factors promotingastrocyte differentiation are likely short-lived. A similar result(weaker induction of GFAP by MSC-CM than by live MSC) was reported inanother system [26] where MSC, plated at low density, were co-culturedwith adult hippocampal neurosphere-derived neural stem cells in thepresence of EGF and bFGF. In this system, cells were seeded on apoly-ornithine/laminin or poly-lysine/laminin-substrate; however, thesesubstrates were also briefly exposed to 10% serum to allow MSCattachment, which could add serum fibronectin to the coating. Mostcommon protocols for culturing astrocytes include 10% FBS in themedium—which may mask the requirement for complex “ECM coating” forastrogenesis in vitro. The serum-free system described herein suggeststhis possibility.

Due to the lack of GFAP⁺ cell growth on PDL, it is not clear whether thesoluble short-lived astrocyte-inducing factors required ECM for theirsignaling, or if the immature, round Nes⁺ cells simply did not expressreceptors for the inducing factors. Indeed, mesenchymal cell-derivedfactors TGFβ, HGF, and BMPs were implicated in promoting astrogenesis[26, 43-45]; all these factors are ECM-bound in their inactive form andhave short life span when released from ECM. Another illustration of thesignificance of mesenchymal cell-derived soluble and insoluble factorsfor astroglial differentiation comes from the observation ofnon-adherent cultures (FIG. 7). Among all other tested differentiationmarkers, GFAP gene expression exhibited the most dramatic increase inneurospheres which were formed in the presence of MSC, compared to thoseformed in the presence of EFG and FGF2.

On ECM, astrocytes-like Nes⁺ cells that did not express GFAP wereobserved (FIG. 3C). Their morphology implied that they may represent theradial glia, slowly dividing adult neural stem cells, which areGFAP-negative in rats [46-48]. This identity can be confirmed byphenotyping and, if confirmed, the assays described herein can be usedto monitor the behavior of these adult stem cells in response to MSC.

Oligodendrocytic differentiation was monitored using an earlyoligodendrocytic marker, the myelin-processing enzyme CNPase, whoseexpression typically follows O4 expression and precedes the expressionof myelin basic protein (MBP) [49]. In the experiments described herein,appearance of CNPase protein was detected relatively late after theappearance of its mRNA, but was expedited by the presence of MSC orSB623 cells (FIG. 4). Quantifiable expression levels of CNPase mRNA weredetected much earlier, and were directly MSC-dose-dependent (FIG. 5).However, the dose-dependence curves became biphasic (FIG. 6A) andeventually reversed. It appeared that while rat CNPase expressioncontinued to increase with time in all cultures, at later time pointslower doses of either MSC or SB623 cells, rather than higher ones,induced higher overall levels of CNPase mRNA. Protein staining confirmedthis finding and revealed that low numbers of SB623 cells induced moreintense CNPase staining than did 10 times more mesenchymal stem cells,while both doses increased numbers of dividing CNPase-positive cells(FIG. 6B).

These results indicate the existence of a cell density-dependentinhibition of oligodendrocyte differentiation; however, it is unclearwhether mesenchymal cells are responsible directly or indirectly.Expansion and differentiation of oligodendrocyte precursors arecontrolled by cell density [50, 51] and, although the control mechanismis unknown, it has been reported that local cell-to-cell interactions,rather than long range diffusible factors, were implicated; and that theeffect is cell type-specific, i.e. it was mediated specifically byoligodendrocytic lineage [50]. The results of the assays describedherein are consistent with the possibility that higher doses ofmesenchymal cells inhibit oligodendrocyte differentiation indirectly, byincreasing the proliferation of early oligodendrocyte precursors. OnECM, MSC-CM induced more than 3-fold higher CNPase expression than didlive cells (Table 2), and much less GFAP expression was detected underthese conditions. These observations suggest an interplay between, andbalancing of, rates of proliferation and differentiation for astrocytescompared to oligodendrocytes. The data disclosed herein also supportsthe notion that ECM itself can play a role in promoting oligodendrocyteproliferation and differentiation [52]. Indeed, on PDL, even in thepresence of MSC or MSC-CM, CNPase expression levels were low and theprotein was not detected over the course of 2 weeks, while on ECM theprotein was detected, even in the absence of other additives.

The methods and compositions disclosed herein enable the quantitativeanalysis of neuropoietic activity of test substances in mixedcross-species co-cultures. In this system, mesenchymal cell-derived ECMis used as a substrate for adherent co-culturing; neural cells arecultured in the same microenvironment from start to finish, withoutexternal growth factors; primary neural cells and test substances (e.g.,MSC preparations) are co-cultured directly, at low cell plating density.The system allows analysis of secreted, diffusible, cell-associated andmatrix-associated factors. Analysis can be conducted in a microplateformat; using qRT-PCR-based readout for neural markers from totallysates.

Mesenchymal cell-derived ECM was chosen as a substrate for neural cellco-cultures based on previous observations that human MSC-derived ECMand, to a greater extent, SB623 cell-derived ECM, permit the growth ofrat embryonic cortical cells and their subsequent differentiation toneuronal and glial lineages at relatively low cell plating densities andin the absence of growth factors [28]. Herein it is disclosed ECMcoating created a favorable environment for Nestin-positive cell growth.The integral heparan sulfate proteoglycans (HSPG) of the ECM wereimportant, since Heparinase 1 pre-treatment of ECM diminished nestinlevels in cultures, in contrast to control-treated wells. The role ofHSPGs suggested involvement of FGF2 signaling. Indeed, an antibodyblocking FGF2, though not a control antibody, decreased nestinexpression below basal levels in neural cultures. This suggests thatFGF2 plays an important role in ECM-based cultures. FGF2 (of rat orhuman origin, or both) can provide physiological stimulation thatsupports the survival and the slow proliferation of neural stem/earlyprecursor cells and enables the subsequent differentiation of theadherent culture. Recent reports identified mesenchymal cell-derived ECMas an integral part of an in vivo neural stem cell niche in the form ofextravascular basal laminae (fractones) and its HSPGs were implicated inthe accumulation of FGF2 [31, 32]. This observation justifies the use ofmesenchymal ECM substrate for neural cell culturing to model a stem cellniche. Although most of the results disclosed herein were obtained usingSB623-cell-derived ECM, MSC-ECM-based systems also produce similarresults, although at longer culturing times.

When a cortical cell population is grown on ECM in the absence of growthfactors or other test substances, differentiated glial cells aredetected in 2-3 weeks [28]. In the presence of MSC, the neuralpopulation proliferated and differentiated significantly more rapidly,in an MSC-dose dependent manner (see Examples). The species-specificqRT-PCR readout method described herein is capable of detectinginduction of rat neural markers in the presence of as little as 50 humanMSC per 5000 rat neural cells. Levels of neural marker expressionreflected a cumulative outcome of several processes in co-cultures. Forexample, an MSC-driven increase in total nestin expression (FIG. 2)reflected increasing expression per cell, due to the growth of cellularcell extensions, increasing numbers of Nes⁺ stem cells (Nes⁺ coloniesand dividing Nes⁺ cells), and increasing numbers of Nes⁺MAP2⁺ immatureprecursors (Example 1). MSC-driven increases in MAP2 or DCX expressionnoticeable in co-cultures at day 1 (FIG. 2) were likely a result ofMSC-enhanced neuritogenesis (Example 1 and [15, 22, 33, 34]). The secondincrease in neuronal markers was observed at later time points (at day 6to 7), preceding the massive appearance of cells co-expressing both MAP2and nestin proteins. These results are in agreement with previousreports, which demonstrated the stimulating effects of MSC onproliferation of neural precursors of neurosphere origin and on neuronaldifferentiation [23-25].

MSC are known to secrete many growth factors that have been shown toparticipate in the maintenance of neural precursors andneurodifferentiation in vivo [reviewed in 35] and the secretion of someof them, including BMP4, FGF2, EGF, VEGF, and PDGF-AA has been confirmedin some MSC batches used here (30 and co-owned US Patent ApplicationPublication No. 2010/0266554). Blocking experiments demonstrated thatMSC-produced FGF2 was the major factor responsible for MSC-driven nestininduction in co-cultures (Example 13). Nestin-inducing activity couldalso be efficiently transferred by MSC-CM; and approximately 85-90% ofit could be removed from MSC-CM by immunoprecipitation of FGF2. Thecrucial role of FGF2 in the maintenance of neural stem cell is wellknown (reviewed in 36, 37); but the results described herein demonstratethat the contribution of MSC-derived FGF2 to MSC-driven nestin inductionoverwhelmed other possible contributors.

The induction of astrogenesis (measured as GFAP expression) underserum-free conditions is a hallmark of ECM-based cultures of E18cortical cells. GFAP protein staining was closely associated with thestaining for nestin filaments around day 7 (Example 2). Moreover, theformation of nestin filaments accompanying Nes⁺ cell spreading seemed tobe a pre-requisite for astrocytic differentiation, since no GFAPinduction was observed on other substrates that did not supportNes⁺-cell spreading (38). MSC greatly promoted GFAP expression. BMPswere found herein to be major mediators of this effect, since Noggin, anegative regulator of BMP activity, inhibited ˜90% of GFAP induction inco-cultures. BMP4 was abundantly expressed in MSC (39 and Table 4). Anantibody that blocks human BMP4 eliminated ˜60% of GFAP induction,indicating that human BMP4 was a major astrogenic BMP. BMP4 waspreviously implicated in mediating astrogenic effects of speciallyinduced rat MSC in co-cultures with mouse neurospheres (40). Example 14shows that MSC-CM was less astrogenic than MSC, in agreement with aprevious report (25). The residual astrogenic activity of MSC-CM couldnot be removed by immunodepleting BMP4; this could mean that BMP4 wasnot responsible for the residual astrogenic activity, or that it waspresent in an inactive form. However, MSC transfected with BMP4-siRNA,but not with control siRNA, when plated in co-cultures, showed reducedastrogenic activity, while FGF2 expression was not altered by thetransfection (Example 14). Taken together, these results suggest thatastrogenic activity of MSC is mediated in part by BMPs (specifically,human BMP4) and that the active BMP4 was either cell-associated or boundto the ECM, and not secreted into the medium. These results do notexclude the possibility that other MSC-derived factors, such as TGFβ,are involved (25, 42), although blocking TGFβ1 in co-cultures did notresult in inhibition of astrogenesis.

Oligodendrocytic differentiation was monitored using an earlyoligodendrocytic marker, the myelin-processing enzyme CNPase, whoseexpression typically follows O4 expression, precedes the expression ofmyelin basic protein, and increases throughout the maturation process(43). In agreement with previous reports (24, 44, 45),oligodendrogenesis in the co-cultures described herein was clearlyMSC-dependent; however, the timing of MSC-dose response was differentfrom that of astrogenesis. On day 5 of co-culture, there was a directrelationship between MSC dose and levels of CNPse expression; whereas,on day 7, CNPase activation by increasing doses of MSC reached aplateau, beyond which further increases in MSC dose resulted in lowerlevels of activation. (FIG. 5). Oligodendrocyte precursor expansion anddifferentiation are known to be controlled by cell density (46).Although the precise cell-density control mechanism is unknown, it hasbeen reported that local cell-to-cell interactions between cells ofoligodendrocytic lineage are responsible (47). The same biphasicdose-response of CNPase expression is observed at high doses ofconditioned medium from MSC, indicating that the reversal of activationlevels at high MSC doses is not due to the presence of highconcentrations of mesenchymal cells. On the contrary, higher doses ofMSC were very effective in inducing the proliferation of oligodendrocyteprecursors; the precursors reached higher density more rapidly andsuppressed their own differentiation (further accumulation of CNPase)earlier.

Disclosed herein is an in vitro system that enables the quantitativemultifactorial analysis of the effects of a test substance on a primaryneural cell population. The system preserves the complexity and some ofthe intrinsic interactions of a primary cell population. This system canbe used to identify and quantitate soluble, cell-associated and/ormatrix-bound neuropoietic factors and has been used to show theimportance of soluble FGF2 and cell-associated or matrix-bound BMP4 inneuronal and astrocyte development, respectively. Finally, the systemcan be used for comparing the potencies of various lots of MSC or theirderivatives (e.g., SB623 cells), as well as for studying the effects ofneural population on MSC.

The data presented herein suggest that SB623 cells induce theproliferation and differentiation of early neural precursors moreefficiently than do their parental MSC.

In summary, the inventors have described an in vitro system that enablesthe imaging and the high-throughput quantitation of the effects ofsubstances (such as, for example, MSC, SB623 cells and their products)on various stages of neural cell growth and differentiation. This systemwill facilitate the study of a number of differentiative processes,including, for example, MSC/neural cell interactions, and serve as abasis for potency assays for neuroregenerative cell-based therapies.

In addition, neurogenic effects of FGF2, and astrocytogenic effects ofBMP4, have been demonstrated. Accordingly, FGF2 and BMP4 can besubstituted for the neural precursor cells or for any of the neuralcells described in co-owned U.S. Pat. No. 7,682,825, for use intreatment of a disease, disorder or condition of the central orperipheral nervous system. To that end, the disclosure of U.S. Pat. No.7,682,825 is incorporated by reference herein, in its entirety.Furthermore, FGF2 and BMP4 can be substituted for the neuronal precursorcells, the MASC-derived neuronal cells, or any of the graft-formingunits described in co-owned U.S. Pat. No. 8,092,792, for use intreatment of a central nervous system lesions (e.g., ischemic stroke,hemorrhagic stroke). To that end, the disclosure of U.S. Pat. No.8,092,792 is incorporated by reference herein, in its entirety.

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What is claimed is:
 1. A method for testing for a substance thatpromotes neurogenesis or gliogenesis, the method comprising: (a)culturing mesenchymal cells on a solid substrate; (b) removing themesenchymal cells from the substrate, such that an extracellular matrixproduced by the mesenchymal cells remains on the substrate; (c)culturing embryonic cortical cells on the substrate of step (b); (d)adding a substance to the culture of step (c); and (e) measuring growthof neurons or glial cells; wherein growth of neurons indicates that thesubstance promotes neurogenesis, and growth of glial cells indicates thesubstance promotes gliogenesis.
 2. The method of claim 1, wherein themesenchymal cells are selected from the group consisting of (a)mesenchymal stem cells, and (b) descendants of mesenchymal stem cellsthat have been transfected with a nucleic acid encoding a Notchintracellular domain.
 3. The method of claim 1, wherein the mesenchymalcells are obtained from a human.
 4. The method of claim 1, wherein thesolid substrate is selected from the group consisting of plastic,nitrocellulose and glass.
 5. The method of claim 1, wherein theembryonic cortical cells are obtained from a mouse or a rat.
 6. Themethod of claim 1, wherein the substance is a chemical compound or apolypeptide.
 7. The method of claim 1, wherein the substance is a cell,a cell culture or conditioned medium from a cell culture.
 8. The methodof claim 7, wherein the cell is selected from the group consisting of(a) a mesenchymal stem cell, and (b) a descendant of a mesenchymal stemcell that has been transfected with a nucleic acid encoding a Notchintracellular domain.
 9. The method of claim 7, wherein the neurogenesisor gliogenesis is promoted by a protein expressed on the surface of thecell.
 10. The method of claim 1, wherein growth of neurons is measuredby neurite outgrowth or by expression of a marker selected from thegroup consisting of microtubule-associated protein 2 (MAP2),doublecortin (DCX), beta-tubulin type III (TuJ1), synaptophysin andneuron-specific enolase.
 11. The method of claim 1, wherein the glialcells are astrocytes and growth of the astrocytes is measured byexpression of glial fibrillary acidic protein (GFAP), Glast, orglutamine synthetase.
 12. The method of claim 1, wherein the glial cellsare oligodendrocytes and growth of the oligodendrocytes is measured byexpression a marker selected from the group consisting of 2′,3′-cyclicnucleotide 3′ phosphodiesterase (CNPase), the O1 antigen, the O4antigen, myelin basic protein, oligodendrocyte transcription factor 1,oligodendrocyte transcription factor 2, oligodendrocyte transcriptionfactor 3, NG2, and myelin-associated glycoprotein.
 13. The method ofclaim 1, wherein the growth of neurons or glial cells is compared togrowth or neurons or glial cells, respectively, in the absence of thesubstance.
 14. A method for testing for a substance that promotes growthor differentiation of neural precursor cells (NPCs), the methodcomprising: (a) culturing mesenchymal cells on a solid substrate; (b)removing the mesenchymal cells from the substrate, such that anextracellular matrix produced by the mesenchymal remains on thesubstrate; (c) culturing embryonic cortical cells on the substrate ofstep (b); (d) adding a substance to the culture of step (c); and (e)measuring growth or differentiation of NPCs; wherein growth of NPCsindicates that the substance promotes the growth of NPCs anddifferentiation of NPCS indicates that the substance promotes thedifferentiation on NPCs.
 15. The method of claim 14, wherein themesenchymal cells are selected from the group consisting of (a)mesenchymal stem cells, and (b) descendants of mesenchymal stem cellsthat have been transfected with a nucleic acid encoding a Notchintracellular domain.
 16. The method of claim 14, wherein themesenchymal cells are obtained from a human.
 17. The method of claim 14,wherein the solid substrate is selected from the group consisting ofplastic, nitrocellulose and glass.
 18. The method of claim 14, whereinthe embryonic cortical cells are obtained from a mouse or a rat.
 19. Themethod of claim 14, wherein the substance is a chemical compound or apolypeptide.
 20. The method of claim 14, wherein the substance is acell, a cell culture or conditioned medium from a cell culture.
 21. Themethod of claim 20, wherein the cell is selected from the groupconsisting of (a) a mesenchymal stem cell, and (b) a descendant of amesenchymal stem cell that has been transfected with a nucleic acidencoding a Notch intracellular domain.
 22. The method of claim 20,wherein the growth or differentiation of NPCs is promoted by a proteinexpressed on the surface of the cell.
 23. The method of claim 14,wherein the growth of NPCs is measured by expression of nestin, Glast orSOX2.
 24. The method of claim 14, wherein the differentiation of NPCs isevidenced by neurite outgrowth, or by expression of a marker selectedfrom the group consisting of microtubule-associated protein 2 (MAP2),doublecortin (DCX), beta-tubulin type III (TuJ1), synaptophysin,neuron-specific enolase, glial fibrillary acidic protein (GFAP),glutamine synthetase, the GLAST glutamate transporter, 2′,3′-cyclicnucleotide 3′ phosphodiesterase (CNPase), the O1 antigen, the O4antigen, myelin basic protein, oligodendrocyte transcription factor 1,oligodendrocyte transcription factor 2, oligodendrocyte transcriptionfactor 3, NG2, and myelin-associated glycoprotein.
 25. The method ofclaim 14, wherein the growth or differentiation of NPCs is compared tothe growth or differentiation, respectively, of NPCs in the absence ofthe substance.
 26. A composition comprising a solid substrate with abiological layer deposited thereon, wherein the biological layer is anextracellular matrix deposited by: (a) a mesenchymal stem cell (MSC), or(b) a MSC that has been transfected with a nucleic acid, wherein thenucleic acid encodes a Notch intracellular domain but does not encodefull-length Notch protein.
 27. The composition of claim 26, wherein theMSC are obtained from a human.
 28. The composition of claim 26, whereinthe solid substrate is selected from the group consisting of plastic,nitrocellulose and glass.
 29. The composition of claim 26, furthercomprising embryonic cortical cells.
 30. The composition of claim 29,wherein the embryonic cortical cells are obtained from a mouse or a rat.31. The composition of claim 26, further comprising a test substance.32. The composition of claim 31, wherein the test substance is achemical compound or a polypeptide.
 33. The composition of claim 31,wherein the test substance is a cell, a cell culture or conditionedmedium from a cell culture.
 34. The composition of claim 33, wherein thecell is selected from the group consisting of (a) a mesenchymal stemcell, and (b) a descendant of a mesenchymal stem cell that has beentransfected with a nucleic acid encoding a Notch intracellular domain.35. A kit for determining the effect of a substance on neuropoiesis,neurogenesis, astrocytogenesis, or oligodendrocytogenesis; the kitcomprising the composition of claim
 26. 36. The kit of claim 35, furthercomprising one or more reagents for detection of a neuronal or glialmarker molecule.
 37. The kit of claim 36, wherein the detection is byimmunohistochemistry.
 38. The kit of claim 37, wherein the reagentcomprises one or more antibodies.
 39. The kit of claim 38, wherein theone or more antibodies are specific to one or more antigens selectedfrom the group consisting of microtubule-associated protein 2 (MAP2),doublecortin (DCX), beta-tubulin type III (TuJ1), synaptophysin,neuron-specific enolase, glial fibrillary acidic protein (GFAP), Glast,glutamine synthetase, 2′,3′-cyclic nucleotide 3′ phosphodiesterase(CNPase), the O1 antigen, the O4 antigen, myelin basic protein,oligodendrocyte transcription factor 1, oligodendrocyte transcriptionfactor 2, oligodendrocyte transcription factor 3, NG2, andmyelin-associated glycoprotein.
 40. The kit of claim 36, wherein thedetection is by quantitative reverse transcription/polymerase chainreaction (qRT-PCR).
 41. The kit of claim 40, wherein the reagentcomprises one or more oligonucleotide primers or oligonucleotide probes.42. The kit of claim 41, wherein the one or more oligonucleotide primersor oligonucleotide probes specifically detect a nucleic acid encoding aprotein selected from the group consisting of microtubule-associatedprotein 2 (MAP2), doublecortin (DCX), beta-tubulin type III (TuJ1),synaptophysin, neuron-specific enolase, glial fibrillary acidic protein(GFAP), Glast, glutamine synthetase, 2′,3′-cyclic nucleotide 3′phosphodiesterase (CNPase), the O1 antigen, the O4 antigen, myelin basicprotein, oligodendrocyte transcription factor 1, oligodendrocytetranscription factor 2, oligodendrocyte transcription factor 3, NG2, andmyelin-associated glycoprotein.